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
-
2021-03-06
Registered in v-safe
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2021-03-06
Dose 1 — Janssen/Johnson & Johnson
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2021-03-06
Survey response — day 0, dose 1MedDRA: Fatigue, Somnolence — Feeling: Good · Fatigue or tirednessFree text: Appt was at 3:15am so fatigue also caused by sleep scheduleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Eczema — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: I have had very bad eczema on my face the past 2 days- specifically under my eyes, but its likely unrelatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Eczema, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Eczema still very bad under eyes, most likely unrelatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Eczema eyelids — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Eczema around eyes, but likely not due to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-07
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2021-10-23
Dose 2 — Pfizer-BioNTech
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2021-10-31
Survey response — day 7, dose 2MedDRA: 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 professionalFree 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 stretchingMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-06
- 2021-11-20
- 2021-11-29
- 2021-12-06
- 2022-01-23
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2022-04-23
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Pregnancy/miscarriageMedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-04-25
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-23 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-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
Systemic reaction (other): Appt was at 3:15am so fatigue also caused by sleep schedule
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have had very bad eczema on my face the past 2 days- specifically under my eyes, but its likely unrelated
Systemic reaction (other): Eczema still very bad under eyes, most likely unrelated
Systemic reaction (other): Eczema around eyes, but likely not due to vaccine
Release 10 — day 7, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Injury | · | · | ✓ |
| HCVO | Muscle strain | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SRO | Eczema | ✓ | ✓ | ✓ |
| SRO | Eczema eyelids | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release