Q6K-17670-39634
3 vaccinations
2 coded responses
40 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 620 / IL
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KDR-91693-86186
Child or adolescent in my care · Male · 2021-11-11
GNU-14189-91477
Child or adolescent in my care · Female · 2022-07-19
775-93143-13688
Child or adolescent in my care · Male · 2022-07-19
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Thirst — Feeling: Good · HeadacheFree text: Thirsty, tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-15
Survey response — day 35, single doseMedDRA: Asthenia, Blindness unilateral, Emergency care, Migraine with aura, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I had a migraine with aura. My vision in my left eye was completely blocked and I had weakness and tingling in my left hand. · Healthcare visit (other): Emergency blood labsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Report sent to call center — day 35, single doseGet care from a doctor or other healthcare professional1 call case(s)
- 2021-04-19
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-11-09
Dose 2 — Pfizer-BioNTech
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2022-02-08
- 2022-05-12
-
2022-09-11
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-11
- 2022-09-12
- 2022-09-16
-
2022-09-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2022-09-18
- 2022-09-25
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-10-25
- 2022-12-11
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-09 | Pfizer-BioNTech | No |
| 3 | 2022-09-11 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Thirsty, tired
Release 7 — day 35, single dose
Symptoms: I had a migraine with aura. My vision in my left eye was completely blocked and I had weakness and tingling in my left hand.
Healthcare visit (other): Emergency blood labs
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Blindness unilateral | ✓ | ✓ | ✓ |
| SD | Migraine with aura | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release