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Z3A-11178-40551

2 vaccinations 2 coded responses 28 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
641 / MO
Registered
2021-04-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-03
    Registered in v-safe
  2. 2021-04-03
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-04-03
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Headache, Muscle or body aches, Diarrhea
    Adult check-in
  5. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  6. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  7. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  8. 2021-04-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-26
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  11. 2021-05-01
    Health check-in — day 28, single dose
    Feeling: Fair
    Adult check-in
  12. 2021-05-08
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  13. 2021-05-15
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  14. 2021-07-03
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-10-02
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-11-10
    Dose 2 — Pfizer-BioNTech
  17. 2021-11-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-11-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-11-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-11-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-11-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-11-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-11-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  24. 2021-11-24
    Survey response — day 14, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-12-01
    Survey response — day 21, dose 2
    MedDRA: Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: UTI
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-01
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  27. 2021-12-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  28. 2021-12-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-12-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-02-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-05-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  33. 2022-11-12
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-03Janssen/Johnson & Johnson
22021-11-10Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-12-01 Successful
2021-12-02
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 10 — day 14, dose 2

2021-11-24

Symptoms: Sore throat

Release 10 — day 21, dose 2

2021-12-01

Symptoms: UTI

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
SDOropharyngeal pain · · ✓
SDUrinary tract infection · · ✓

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

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