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PV6-10726-59504

3 vaccinations 9 coded responses 39 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
775 / TX
Registered
2021-03-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
FDE-26625-63116 Child or adolescent in my care · Male · 2021-11-17
6UN-18681-08190 Child or adolescent in my care · Male · 2021-11-17
BBU-16042-99575 Child or adolescent in my care · Female · 2021-11-17

Timeline

  1. 2021-03-31
    Registered in v-safe
  2. 2021-03-31
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-31
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work
    Adult check-in
  5. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  9. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-04-09
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-04-14
    Survey response — day 14, dose 1
    MedDRA: Headache — Feeling: Fair
    Free text: Headache all day (possibly due to weather though)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-21
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  13. 2021-04-28
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  14. 2021-05-05
    Survey response — day 35, single dose
    MedDRA: Cough, Fatigue, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Seasonal allergy — Feeling: Fair
    Free text: Cough, nasal drainage, fatigue - I think its just a cold/seasonal allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-12
    Survey response — day 42, single dose
    MedDRA: Cough, Fatigue, Menstruation delayed, Respiratory tract congestion — Feeling: Fair
    Free text: Cough, chest congestion, fatigue , but I think these are related to allergies/cold that Ive been overcoming the past couple weeks. My period was also 2 days late.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-30
    Survey response — 3 months, dose 1
    MedDRA: Gastroenteritis viral, Heavy menstrual bleeding, Menstrual disorder, Sinusitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Sinus infection, treated with antibiotics. Stomach virus contracted from children in home. Unusually long mensural cycle and unusually heavy bleeding.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-30
    Report sent to call center — 3 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-07-02
  19. 2021-09-29
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  20. 2021-10-26
    Dose 2 — Pfizer-BioNTech
  21. 2021-10-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  22. 2021-11-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness, Diarrhea
    Adult check-in
  23. 2021-11-02
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  24. 2021-11-09
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain upper, Self-medication — Feeling: Good
    Free text: Stomach cramps on day 9 after vaccination. Sever enough to need Tylenol to help with pain. No pain on day 10. (Had similar cramps after original vaccine was administered)
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-16
    Survey response — day 21, dose 2
    MedDRA: Cough, Pain, Respiratory tract congestion, Self-medication — Feeling: Fair
    Free text: Cough, congestion. Some aches, but relieved with Tylenol.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-30
    Survey response — day 35, dose 2
    MedDRA: Cough, Nasopharyngitis, Nausea — Feeling: Good · Be unable to do your normal daily activities
    Free text: Couple days of nausea recently. And continued cough from a seasonal cold.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-12-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-01-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-04-26
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Joint stiffness — Feeling: Good
    Free text: Every morning when I wake up my finger joints are very stiff and painful. After moving for a few minutes the pain subsides.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-09-14
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  32. 2022-09-14
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  33. 2022-09-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary mass, Axillary pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: I had a sore lump under my armpit this morning (same arm that I received the injection). The pain/lump has almost subsided by late afternoon.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-09-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  35. 2022-09-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-09-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2022-09-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  38. 2022-09-21
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2022-09-28
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-10-05
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-10-12
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-10-21
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-10-27
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-12-14
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2023-03-15
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Janssen/Johnson & Johnson
22021-10-26Pfizer-BioNTech No
32022-09-14Pfizer-BioNTech Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Headache all day (possibly due to weather though)

Release 8 — day 35, single dose

2021-05-05

Symptoms: Cough, nasal drainage, fatigue - I think its just a cold/seasonal allergies

Release 8 — day 42, single dose

2021-05-12

Symptoms: Cough, chest congestion, fatigue , but I think these are related to allergies/cold that Ive been overcoming the past couple weeks. My period was also 2 days late.

Release 9 — 3 months, dose 1

2021-06-30

Symptoms: Sinus infection, treated with antibiotics. Stomach virus contracted from children in home. Unusually long mensural cycle and unusually heavy bleeding.

Release 10 — day 14, dose 2

2021-11-09

Symptoms: Stomach cramps on day 9 after vaccination. Sever enough to need Tylenol to help with pain. No pain on day 10. (Had similar cramps after original vaccine was administered)

Release 10 — day 21, dose 2

2021-11-16

Symptoms: Cough, congestion. Some aches, but relieved with Tylenol.

Release 10 — day 35, dose 2

2021-11-30

Symptoms: Couple days of nausea recently. And continued cough from a seasonal cold.

Release 11 — 6 months, dose 2

2022-04-26

Symptoms: Every morning when I wake up my finger joints are very stiff and painful. After moving for a few minutes the pain subsides.

Release 12 — days 1–6 daily, dose 3

2022-09-16

Systemic reaction (other): I had a sore lump under my armpit this morning (same arm that I received the injection). The pain/lump has almost subsided by late afternoon.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper · · ✓
SDArthralgia · · ✓
SDCough ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGastroenteritis viral ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeavy menstrual bleeding ✓ ✓ ✓
SDJoint stiffness · · ✓
SDMenstrual disorder ✓ ✓ ✓
SDMenstruation delayed ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDNausea · · ✓
SDPain · · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSeasonal allergy ✓ ✓ ✓
SDSelf-medication · · ✓
SDSinusitis ✓ ✓ ✓
SROAxillary mass · · ✓
SROAxillary pain · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release