26U-27979-11581
4 vaccinations
14 coded responses
44 check-ins
13 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 480 / MI
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-15
Dose 1 — Janssen/Johnson & Johnson
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2021-03-16
Registered in v-safe
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Poor quality sleep, Pruritus — Feeling: Fair · Site: Pain, SwellingFree text: Wakefulness @0202 and 0432 with increased intense itchiness from waist down.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling, Itching · NoneAdult check-in
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Urine odour abnormal — Feeling: Fair · Site: Pain, Swelling, ItchingFree text: On Wednesday(yesterday) I failed to report colorless -like water-urine along with an odor that had a 'medicinal' smell. TODAY: urine appears light yellow and odor as in yesterday was decreased.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Limb discomfort, Musculoskeletal discomfort, Nerve compression, Pain, Pain in extremity, Self-medication — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: Intense left arm pain radiating to hand. Pain reminiscent of pinched nerve pain. Required need to take one 325 mg aspirin. Some current discomfort in left side of neck and arm remains.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Throat irritation — Feeling: FairFree text: Itchy throat with cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Hypersomnia, Pain, Pre-existing disease, Sciatica, Sleep apnoea syndrome, Systemic lupus erythematosus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain reminiscent of sciatica on left side from trunk downward. Excessive sleeping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
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2021-03-29
Survey response — day 14, dose 1MedDRA: Dyspnoea — Feeling: FairFree text: Late P.M. on March 22 @ approximately 11, breathing was somewhat laborious. I monitored it for any worsening symtoms and it remained constant. No gasping for air just a slowed down process of lung inhale/exhale cycle. No repeat symptoms to date.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-12
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2021-04-19
Survey response — day 35, single doseMedDRA: Dyspnoea, Headache, Vision blurred — Feeling: GoodFree text: Intermittent headaches lasting less than an hour, blurred vision and labored breathing. (Age suggests new cataract as I use progressive lens and have worn prescription lenses since age 9.) Respiratory depression may be tied to Norco 750mg daily(QHS)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — day 42, single doseMedDRA: Chills, Dysphagia, Headache, Nasal congestion, Oropharyngeal pain, Throat irritation — Feeling: FairFree text: Exra throat irritation with slight difficulty swallowing. Intermittent chills over 48 hrs. NO fever, emesis or diarrhea. Nasal stuffiness (may be attributable to pollen from outdoor air). Throat irritation after clinic appt 4/22.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-14
- 2021-09-15
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2021-10-28
Dose 2 — Janssen/Johnson & Johnson
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2021-11-01
Survey response — days 1–6 daily, dose 2MedDRA: Breakthrough COVID-19 — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: COVID Breakthrough:9/15-10/1MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-02
- 2021-11-02
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2021-11-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-11-04
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-11
- 2021-11-18
- 2021-11-26
- 2021-12-02
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2021-12-09
Survey response — day 42, dose 2MedDRA: Oropharyngeal pain, Pyrexia, Throat irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Intermittent low-grade fevers; itchy and mildly sore throat.MedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Survey response — 3 months, dose 2MedDRA: COVID-19, Fatigue, Lethargy, Somnolence — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Extreme fatigue/lethargy. Excessive daytime sleepiness/drowsiness. Sleeping 12 plus hours yet still feel tired. Please note: these symptoms began after COVID infection on September 30 thru October 10(post vaccine).MedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Dose 3 — Janssen/Johnson & Johnson
- 2022-05-21
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-07-28
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2022-10-14
Dose 4 — Moderna
- 2022-10-14
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2022-10-15
Survey response — days 1–6 daily, dose 4MedDRA: Blood pressure increased, Body temperature increased — Feeling: Good · Site: Pain · HeadacheFree text: Low-grade fever(10/14):99.1 and increased BP of:132/71.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
- 2022-10-17
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2022-10-18
Survey response — days 1–6 daily, dose 4MedDRA: Body temperature increased — Feeling: Good · Site: Pain · HeadacheFree text: Low-grade fever 99.1 :10/17@1855.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
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2023-01-13
Survey response — 3 months, dose 4MedDRA: Chills, Headache, Pyrexia — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-28 | Janssen/Johnson & Johnson | No |
| 3 | 2022-04-28 | Janssen/Johnson & Johnson | No |
| 4 | 2022-10-14 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Wakefulness @0202 and 0432 with increased intense itchiness from waist down.
Systemic reaction (other): On Wednesday(yesterday) I failed to report colorless -like water-urine along with an odor that had a 'medicinal' smell. TODAY: urine appears light yellow and odor as in yesterday was decreased.
Systemic reaction (other): Intense left arm pain radiating to hand. Pain reminiscent of pinched nerve pain. Required need to take one 325 mg aspirin. Some current discomfort in left side of neck and arm remains.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Itchy throat with cough.
Systemic reaction (other): Pain reminiscent of sciatica on left side from trunk downward. Excessive sleeping.
Release 6 — day 14, dose 1
Symptoms: Late P.M. on March 22 @ approximately 11, breathing was somewhat laborious. I monitored it for any worsening symtoms and it remained constant. No gasping for air just a slowed down process of lung inhale/exhale cycle. No repeat symptoms to date.
Release 7 — day 35, single dose
Symptoms: Intermittent headaches lasting less than an hour, blurred vision and labored breathing. (Age suggests new cataract as I use progressive lens and have worn prescription lenses since age 9.) Respiratory depression may be tied to Norco 750mg daily(QHS) cut off by CDC
Release 8 — day 42, single dose
Symptoms: Exra throat irritation with slight difficulty swallowing. Intermittent chills over 48 hrs. NO fever, emesis or diarrhea. Nasal stuffiness (may be attributable to pollen from outdoor air). Throat irritation after clinic appt 4/22.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): COVID Breakthrough:9/15-10/1
Release 10 — day 42, dose 2
Symptoms: Intermittent low-grade fevers; itchy and mildly sore throat.
Release 11 — 3 months, dose 2
Symptoms: Extreme fatigue/lethargy. Excessive daytime sleepiness/drowsiness. Sleeping 12 plus hours yet still feel tired. Please note: these symptoms began after COVID infection on September 30 thru October 10(post vaccine).
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Low-grade fever(10/14):99.1 and increased BP of:132/71.
Systemic reaction (other): Low-grade fever 99.1 :10/17@1855.
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 | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysphagia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Breakthrough COVID-19 | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Nerve compression | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Sciatica | ✓ | ✓ | ○ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sleep apnoea syndrome | ✓ | ✓ | ○ |
| SRO | Systemic lupus erythematosus | ✓ | ✓ | ○ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Urine odour abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release