RWJ-25217-88311
4 vaccinations
5 coded responses
51 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 928 / CA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
YR3-24615-78797
Child or adolescent in my care · Male · 2021-12-30
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Moderna
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-01
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Migraine, Nausea — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Vomiting · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I received an IV of fluids, Tramadol for the migraine and Zofran for nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-06
Health check-in — day 7, dose 1Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-13
-
2021-03-20
Dose 2 — Pfizer-BioNTech
- 2021-03-20
- 2021-03-21
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-06-21
-
2021-09-18
Survey response — 6 months, dose 2MedDRA: Haemorrhage, Menopause, Menstruation irregular, Office visit — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I was in full menopause prior to receiving the vaccine. Since receiving my vaccine, Ive been having regular menstrual cycles every 21-28 days since June. · Healthcare visit (other): I only went to the doctor because I didnt know why I was bleeding.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-18
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-20
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-09-30
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Fatigue or tirednessFree text: Lymph nodes swollen on side of shoulder where I received the injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Rash, Skin swelling — Feeling: Good · Site: Pain · HeadacheFree text: Swollen lymph nodes on shoulder. Small rash on top of swelled skinMedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
-
2021-10-28
Survey response — day 28, dose 3MedDRA: Office visit, Palpitations, Pregnancy test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I went in for heart palpitations, and the doctor gave me a pregnancy test because he ordered a chest x-ray. The pregnancy test came back positive. My doctor thinks I'm pregnant but I know I'm not.MedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-06
- 2021-11-11
- 2021-12-30
- 2022-03-31
-
2022-06-17
Dose 4 — Pfizer-BioNTech
-
2022-06-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
-
2022-06-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
-
2022-06-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
-
2022-06-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2022-06-26
- 2022-07-01
- 2022-07-08
- 2022-07-15
- 2022-07-22
- 2022-07-29
- 2022-09-16
- 2022-12-16
- 2023-06-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-20 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-06-17 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 5 — days 1–6 daily, dose 1
Healthcare visit (other): I received an IV of fluids, Tramadol for the migraine and Zofran for nausea
Release 9 — 6 months, dose 2
Symptoms: I was in full menopause prior to receiving the vaccine. Since receiving my vaccine, Ive been having regular menstrual cycles every 21-28 days since June.
Healthcare visit (other): I only went to the doctor because I didnt know why I was bleeding.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph nodes swollen on side of shoulder where I received the injection
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes on shoulder. Small rash on top of swelled skin
Release 10 — day 28, dose 3
Symptoms: I went in for heart palpitations, and the doctor gave me a pregnancy test because he ordered a chest x-ray. The pregnancy test came back positive. My doctor thinks I'm pregnant but I know I'm not.
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 | Haemorrhage | · | · | ✓ |
| HCVO | Migraine | ✓ | ✓ | ✓ |
| HCVO | Nausea | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Menopause | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pregnancy test positive | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Skin swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release