2SY-11395-98063
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 956 / CA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-29
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-30
Registered in v-safe
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
-
2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding, Insomnia — Feeling: GoodFree text: Since receiving the vaccine my 11 week old who is exclusively breastfeeding has had a horrible time sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Survey response — day 7, dose 1MedDRA: Insomnia, Poor feeding infant — Feeling: GoodFree text: EBF infant having sleep issues since I was vaccinatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-06-28
- 2021-09-27
-
2022-01-12
Dose 2 — Moderna
-
2022-01-14
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 work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-01-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-01-16
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased, Musculoskeletal chest pain — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains · Be unable to work or attend schoolFree text: Fast heart rate chest tendernessMedDRA releases: 2024-11 · check-in free text available
-
2022-01-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
-
2022-01-18
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate irregular — Feeling: Good · Site: PainFree text: Weird heartbeatMedDRA releases: 2024-11 · check-in free text available
-
2022-01-19
Survey response — day 7, dose 2MedDRA: Dizziness, Extrasystoles, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lightheaded, heart beat is sometimes rapid or skipping a beatMedDRA releases: 2024-11 · check-in free text available
- 2022-01-28
- 2022-02-02
- 2022-02-09
- 2022-02-16
-
2022-07-13
Survey response — 6 months, dose 2MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-07-13
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Janssen/Johnson & Johnson | |
| 2 | 2022-01-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-13 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Since receiving the vaccine my 11 week old who is exclusively breastfeeding has had a horrible time sleeping
Release 6 — day 7, dose 1
Systemic reaction (other): EBF infant having sleep issues since I was vaccinated
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Fast heart rate chest tenderness
Systemic reaction (other): Weird heartbeat
Release 10 — day 7, dose 2
Systemic reaction (other): Lightheaded, heart beat is sometimes rapid or skipping a beat
Release 12 — 6 months, dose 2
Symptoms: COVID
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 | COVID-19 | · | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Extrasystoles | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Heart rate irregular | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | · | · | ✓ |
| SRO | Poor feeding infant | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release