Z3T-22759-28348
3 vaccinations
23 coded responses
39 check-ins
22 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 295 / SC
- Registered
- 2021-06-15
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-06-15
Registered in v-safe
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2021-06-15
Dose 1 — Janssen/Johnson & Johnson
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2021-06-15
Survey response — day 0, dose 1MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Itching abdominal about 10 hours post no rash yetvacMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Skin warm — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Soreness under arms chest neck very hot to touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal distension, Peripheral swelling — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swelling hands adominal swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Survey response — days 1–6 daily, dose 1MedDRA: Swelling — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-19
Survey response — days 1–6 daily, dose 1MedDRA: Swelling — Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-20
Survey response — days 1–6 daily, dose 1MedDRA: Swelling — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-06-22
Survey response — day 7, dose 1MedDRA: Swelling — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Survey response — day 14, dose 1MedDRA: Headache, Nausea, Peripheral swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headache swelling arms naseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-06
Survey response — day 21, single doseMedDRA: Headache, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe headache sat mom night now back less severe. Muscle crampsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-13
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2021-07-20
Survey response — day 35, single doseMedDRA: Injection site bruising, Injection site discolouration, Injection site vesicles, Pain in extremity, Rash — Feeling: FairFree text: Injection sight has a brownish bruise Blister at injection sight two more on arm slightly surfacesore. 3 days ago. Weird delayed bruising. Arm really sore but only now has bruising. Rash on neckMedDRA releases: 2024-11 · check-in free text available
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2021-07-27
Survey response — day 42, single doseMedDRA: Headache, Muscle spasms, Nausea, Vomiting — Feeling: Fair · Be unable to work or attend schoolFree text: Yesterday severe muscle cramps extremeties headache nauseA vommittingMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-14
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2021-10-28
Dose 2 — Pfizer-BioNTech
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2021-11-01
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Menstrual issuesMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Fair · Site: Redness · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Muscle crampsMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — day 7, dose 2MedDRA: Muscle spasms — Feeling: Fair · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Muscle crampsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-28
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2022-04-30
Survey response — 6 months, dose 2MedDRA: Peripheral swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: Leg swellingMedDRA releases: 2024-11 · check-in free text available
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2022-06-23
Dose 3 — Pfizer-BioNTech
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2022-06-23
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2022-06-25
Survey response — days 1–6 daily, dose 3MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Swelling legs handsMedDRA releases: 2024-11 · check-in free text available
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2022-06-26
Survey response — days 1–6 daily, dose 3MedDRA: Feeling hot — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Fever in armMedDRA releases: 2024-11 · check-in free text available
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2022-06-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Itching · Headache, Joint pains · Be unable to work or attend schoolAdult check-in
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2022-06-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-06-29
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus, Urticaria — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Itching all over have red welts onlegsMedDRA releases: 2024-11 · check-in free text available
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2022-06-30
Survey response — day 7, dose 3MedDRA: Cyanosis, Eye swelling — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Swollen eyes one bluish around eyeMedDRA releases: 2024-11 · check-in free text available
- 2022-07-07
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2022-07-14
Survey response — day 21, dose 3MedDRA: Dyspnoea exertional, Migraine, Peripheral swelling, Smoke sensitivity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe migraine die to 72 hours boiling black smoke (b)(6) swelling legs feet hands vessels look like may be inflamed. Shortness of breath.for a few minutes when exerting heavy physical activityMedDRA releases: 2024-11 · check-in free text available
- 2022-07-21
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2022-07-28
Survey response — day 35, dose 3MedDRA: Fluid retention, Heavy menstrual bleeding, Loss of personal independence in daily activities, Peripheral swelling, Pre-existing disease — Feeling: Fair · Be unable to work or attend schoolFree text: Very heavy menstrual flow cannot leave home for two days feet legs very swollen only time feet this swollen from a spider bite hands swollen excess fluidMedDRA releases: 2024-11 · check-in free text available
- 2022-08-05
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2022-09-22
Survey response — 3 months, dose 3MedDRA: Menstruation delayed, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Menstruation stopped late 3 weeks Hands swellingMedDRA releases: 2024-11 · check-in free text available
- 2022-12-22
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2023-06-23
Survey response — 12 months, dose 3MedDRA: Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-15 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-28 | Pfizer-BioNTech | No |
| 3 | 2022-06-23 | Pfizer-BioNTech | No |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Itching abdominal about 10 hours post no rash yetvac
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness under arms chest neck very hot to touch
Systemic reaction (other): Swelling hands adominal swelling
Systemic reaction (other): Swelling
Systemic reaction (other): Swelling
Systemic reaction (other): Swelling
Release 9 — day 7, dose 1
Systemic reaction (other): Swelling
Release 9 — day 14, dose 1
Symptoms: Headache swelling arms nasea
Release 9 — day 21, single dose
Symptoms: Severe headache sat mom night now back less severe. Muscle cramps
Release 9 — day 35, single dose
Symptoms: Injection sight has a brownish bruise Blister at injection sight two more on arm slightly surfacesore. 3 days ago. Weird delayed bruising. Arm really sore but only now has bruising. Rash on neck
Release 9 — day 42, single dose
Symptoms: Yesterday severe muscle cramps extremeties headache nauseA vommitting
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Menstrual issues
Systemic reaction (other): Muscle cramps
Release 10 — day 7, dose 2
Systemic reaction (other): Muscle cramps
Release 11 — 6 months, dose 2
Symptoms: Leg swelling
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling legs hands
Systemic reaction (other): Fever in arm
Systemic reaction (other): Itching all over have red welts onlegs
Release 12 — day 7, dose 3
Systemic reaction (other): Swollen eyes one bluish around eye
Release 12 — day 21, dose 3
Symptoms: Severe migraine die to 72 hours boiling black smoke (b)(6) swelling legs feet hands vessels look like may be inflamed. Shortness of breath.for a few minutes when exerting heavy physical activity
redacted (b)(6)
Release 12 — day 35, dose 3
Symptoms: Very heavy menstrual flow cannot leave home for two days feet legs very swollen only time feet this swollen from a spider bite hands swollen excess fluid
Release 12 — 3 months, dose 3
Symptoms: Menstruation stopped late 3 weeks Hands swelling
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 |
|---|---|---|---|---|
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Fluid retention | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Injection site bruising | · | · | ✓ |
| SD | Injection site discolouration | · | · | ✓ |
| SD | Injection site vesicles | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Menstruation delayed | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Smoke sensitivity | · | · | ✓ |
| SD | Vomiting | ✓ | · | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Cyanosis | · | · | ✓ |
| SRO | Eye swelling | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release