ZY4-66124-81345
2 vaccinations
3 coded responses
29 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 967 / HI
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-14
Registered in v-safe
-
2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Headache, Self-medication, Sensitive skin — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to workFree text: On 4/12, the day of my vaccine, I had a fever of 100 degrees sustained for 2 hrs from 7pm-9pm. I also experienced chills, all-over skin sensitivity, severe headache and no appetite. On 4/13, I experienced a moderate headache all day. I took extra strength Tylenol twice throughout the day, with no relief. Today, I have taken extra strength Tylenol once with little relief.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
-
2021-05-24
Survey response — day 42, single doseMedDRA: Fatigue, Headache, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Moderate headache lasted 2 days, 18-19 May. Tylenol and Advil used to subdue symptoms with little relief. Very tired over those two days. It was also the week of my period and its typical to have a headache during that week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-12
- 2021-10-11
-
2021-11-13
Dose 2 — Pfizer-BioNTech
- 2021-11-13
-
2021-11-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-29
- 2021-12-04
- 2021-12-11
-
2021-12-18
Survey response — day 35, dose 2MedDRA: Blood pressure increased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Higher than normal blood pressure.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-22
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-25
- 2022-02-12
- 2022-05-14
- 2022-11-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-13 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): On 4/12, the day of my vaccine, I had a fever of 100 degrees sustained for 2 hrs from 7pm-9pm. I also experienced chills, all-over skin sensitivity, severe headache and no appetite. On 4/13, I experienced a moderate headache all day. I took extra strength Tylenol twice throughout the day, with no relief. Today, I have taken extra strength Tylenol once with little relief.
Release 8 — day 42, single dose
Symptoms: Moderate headache lasted 2 days, 18-19 May. Tylenol and Advil used to subdue symptoms with little relief. Very tired over those two days. It was also the week of my period and its typical to have a headache during that week.
Release 10 — day 35, dose 2
Symptoms: Higher than normal blood pressure.
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 | Blood pressure increased | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release