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SRB-70991-65471

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
100 / NY
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-06
    Survey response — day 0, dose 1
    MedDRA: Fatigue, Somnolence — Feeling: Good · Fatigue or tiredness
    Free text: Appt was at 3:15am so fatigue also caused by sleep schedule
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eczema — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: I have had very bad eczema on my face the past 2 days- specifically under my eyes, but its likely unrelated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eczema, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Eczema still very bad under eyes, most likely unrelated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eczema eyelids — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: Eczema around eyes, but likely not due to vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-27
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  13. 2021-04-03
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  14. 2021-04-10
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  15. 2021-04-17
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  16. 2021-06-05
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-09-07
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2021-10-23
    Dose 2 — Pfizer-BioNTech
  19. 2021-10-31
    Survey response — day 7, dose 2
    MedDRA: Injury, Muscle strain — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Ortho appt tomorrow for lower back/upper glute. Pulled stretching, most likely completely unrelated to vaccine (training for marathon) however it was unexpected to hurt self while stretching
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-31
    Report sent to call center — day 7, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-11-03
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  22. 2021-11-06
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-11-20
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-11-29
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-12-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-01-23
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2022-04-23
    Survey response — 6 months, dose 2
    MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Pregnancy/miscarriage
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-04-23
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  29. 2022-04-25
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Janssen/Johnson & Johnson
22021-10-23Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-31 Successful
2021-11-03
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-23 Successful
2022-04-25
Does not wish to fill out VAERS report

Free text

Release 5 — day 0, dose 1

2021-03-06

Systemic reaction (other): Appt was at 3:15am so fatigue also caused by sleep schedule

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): I have had very bad eczema on my face the past 2 days- specifically under my eyes, but its likely unrelated

2021-03-09

Systemic reaction (other): Eczema still very bad under eyes, most likely unrelated

2021-03-10

Systemic reaction (other): Eczema around eyes, but likely not due to vaccine

Release 10 — day 7, dose 2

2021-10-31

Healthcare visit (other): Ortho appt tomorrow for lower back/upper glute. Pulled stretching, most likely completely unrelated to vaccine (training for marathon) however it was unexpected to hurt self while stretching

Release 11 — 6 months, dose 2

2022-04-23

Symptoms: Pregnancy/miscarriage

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
HCVOInjury · · ✓
HCVOMuscle strain · · ✓
SDAbortion spontaneous · · ✓
SROEczema ✓ ✓ ✓
SROEczema eyelids ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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