Z25-80261-89711
2 vaccinations
21 coded responses
29 check-ins
21 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 770 / TX
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-10
Registered in v-safe
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2021-04-10
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-10
- 2021-04-11
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Itching · Nausea · Be unable to workFree text: dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · Site: RednessFree text: slight runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Ocular hyperaemia — Feeling: Fair · Site: PainFree text: bloodshot eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Cyanosis, Hypoaesthesia — Feeling: Fair · Site: ItchingFree text: bluish fingertip and RT leg numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
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2021-04-24
Survey response — day 14, dose 1MedDRA: Hypoaesthesia — Feeling: FairFree text: Numb fingertips which turn blue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — day 21, single doseMedDRA: Abdominal pain upper, Contusion, Musculoskeletal chest pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: New: bruise on left thigh and discomfort below left rib cage and left of belly button.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — day 28, single doseMedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue and dull pain left of bellybutton area. Though the weekly questionnaire is appreciated, I respectfully suggest that you request a blood sample. It's much more quantitative than these minimally invasive questions. Thank you.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Survey response — day 35, single doseMedDRA: Abdominal discomfort, Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Left of bellybutton discomfort and dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Survey response — day 42, single doseMedDRA: Abdominal pain upper, Dizziness, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Left of belly button - dull painHeartbeat in right earOccasional dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-10
Survey response — 3 months, dose 1MedDRA: Chest pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chest pain (twice - once on Father's Day and another about a week after ). I'll gladly accept it if it means my Mom's Mom's Pfizer symptoms of congestion and joint pain subsides. If it occurs again I'll need to contact my PCP.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-09
Survey response — 6 months, dose 1MedDRA: Depressed mood, Ear pain, Flank pain, Hyperacusis, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Hearing is intermittent in RT ear and dull pain in lower left side (above pelvis area). Not sure having 'the blues' is from the vaccine. When you are deemed an essential employee it doesn't matter how you are feeling today.MedDRA releases: 2024-11 · check-in free text available
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2021-12-30
Dose 2 — Pfizer-BioNTech
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2021-12-30
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Fair · Site: PainFree text: not at this time but will have to look out for renal concernsMedDRA releases: 2024-11 · check-in free text available
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2021-12-31
Survey response — days 1–6 daily, dose 2MedDRA: Angina pectoris, Hypoaesthesia, Musculoskeletal stiffness — Feeling: Fair · Site: Pain · HeadacheFree text: stiff neck, left arm numb and slight angina.MedDRA releases: 2024-11 · check-in free text available
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2022-01-01
Survey response — days 1–6 daily, dose 2MedDRA: Angina pectoris, Hypoaesthesia, Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesFree text: lower left side of abdomen; numb left arm and angina are better.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
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2022-01-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2022-01-05
Survey response — days 1–6 daily, dose 2MedDRA: Ocular hyperaemia — Feeling: Fair · Site: Swelling · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: blood shot eyesMedDRA releases: 2024-11 · check-in free text available
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2022-01-08
Survey response — day 7, dose 2MedDRA: Myalgia, Pollakiuria — Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: muscke ache in neck area; more frequent urinationMedDRA releases: 2024-11 · check-in free text available
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2022-01-14
Survey response — day 14, dose 2MedDRA: Joint swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Swollen anklesMedDRA releases: 2024-11 · check-in free text available
- 2022-01-22
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2022-01-29
Survey response — day 28, dose 2MedDRA: Joint swelling, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Itchy skin on swollen left ankle.MedDRA releases: 2024-11 · check-in free text available
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2022-02-03
Survey response — day 35, dose 2MedDRA: Joint swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Left ankle swelling that does not go down as usual when elevated .MedDRA releases: 2024-11 · check-in free text available
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2022-02-13
Survey response — day 42, dose 2MedDRA: Joint swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Left ankle remains more swollen than normal (i.e. I can elevate my ankles to reduce the swelling).MedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Survey response — 3 months, dose 2MedDRA: Hypoacusis, Oedema peripheral, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Don't recall if ear ringing was mentioned; right ear is muffled. NEVER had loss of hearing prior to pandemic and vaccinations. Still am dealing with puffy ankles more often . · Healthcare visit (other): Primary care physician - I am to inform him of an audiologist to request a referral.MedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-05
- 2022-06-30
- 2022-12-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-02 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): dizziness
Systemic reaction (other): slight runny nose
Systemic reaction (other): bloodshot eyes
Systemic reaction (other): bluish fingertip and RT leg numbness
Release 7 — day 14, dose 1
Symptoms: Numb fingertips which turn blue.
Release 8 — day 21, single dose
Symptoms: New: bruise on left thigh and discomfort below left rib cage and left of belly button.
Release 8 — day 28, single dose
Symptoms: Fatigue and dull pain left of bellybutton area. Though the weekly questionnaire is appreciated, I respectfully suggest that you request a blood sample. It's much more quantitative than these minimally invasive questions. Thank you.
Release 8 — day 35, single dose
Symptoms: Left of bellybutton discomfort and dizziness.
Release 8 — day 42, single dose
Symptoms: Left of belly button - dull painHeartbeat in right earOccasional dizziness
Release 9 — 3 months, dose 1
Symptoms: Chest pain (twice - once on Father's Day and another about a week after ). I'll gladly accept it if it means my Mom's Mom's Pfizer symptoms of congestion and joint pain subsides. If it occurs again I'll need to contact my PCP.
Release 10 — 6 months, dose 1
Symptoms: Hearing is intermittent in RT ear and dull pain in lower left side (above pelvis area). Not sure having 'the blues' is from the vaccine. When you are deemed an essential employee it doesn't matter how you are feeling today.
Release 10 — day 0, dose 2
Systemic reaction (other): not at this time but will have to look out for renal concerns
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): stiff neck, left arm numb and slight angina.
Systemic reaction (other): lower left side of abdomen; numb left arm and angina are better.
Systemic reaction (other): blood shot eyes
Release 10 — day 7, dose 2
Systemic reaction (other): muscke ache in neck area; more frequent urination
Release 10 — day 14, dose 2
Symptoms: Swollen ankles
Release 11 — day 28, dose 2
Symptoms: Itchy skin on swollen left ankle.
Release 11 — day 35, dose 2
Symptoms: Left ankle swelling that does not go down as usual when elevated .
Release 11 — day 42, dose 2
Symptoms: Left ankle remains more swollen than normal (i.e. I can elevate my ankles to reduce the swelling).
Release 11 — 3 months, dose 2
Symptoms: Don't recall if ear ringing was mentioned; right ear is muffled. NEVER had loss of hearing prior to pandemic and vaccinations. Still am dealing with puffy ankles more often .
Healthcare visit (other): Primary care physician - I am to inform him of an audiologist to request a referral.
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 | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Depressed mood | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Hyperacusis | · | · | ✓ |
| SD | Hypoacusis | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ○ | ○ | ○ |
| SD | Pruritus | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Angina pectoris | · | · | ✓ |
| SRO | Cyanosis | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release