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2XM-13465-88442

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 1 call case
Sex
—
Age at first dose
41-45
ZIP prefix
900 / CA
Registered
2021-04-16
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-04-16
    Registered in v-safe
  3. 2021-04-16
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  4. 2021-04-29
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  5. 2021-06-17
    Survey response — 3 months, dose 1
    MedDRA: Palpitations, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Still have vertigo and heart palpitations.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-17
    Report sent to call center — 3 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-06-19
  8. 2021-09-14
    Survey response — 6 months, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Dizziness, light headedness
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-10-25
    Dose 2 — Moderna
  10. 2021-10-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-10-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  12. 2021-10-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  13. 2021-11-01
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  14. 2021-11-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-17
    Survey response — day 21, dose 2
    MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Last week I was very sick but Covid negative rapid test results.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-11-23
    Survey response — day 28, dose 2
    MedDRA: Cough — Feeling: Fair
    Free text: Cough that comes intermittently for last two weeks
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-11-29
    Survey response — day 35, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Think I have cold or flu symptoms
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-12-06
    Survey response — day 42, dose 2
    MedDRA: Cough, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Lingering cough and chest congestion that won't go away. Headache.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-01-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-04-27
    Survey response — 6 months, dose 2
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Congestion, nasal discharge for over two weeks. Cold/allergies possibly.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-10-25
    Survey response — 12 months, dose 2
    MedDRA: Headache, Muscle tightness, Pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Body aches, soreness. Tight muscles in arms, back and hands. Headaches as well.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Janssen/Johnson & Johnson
22021-10-25Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — 3 months, dose 1

2021-06-17

Symptoms: Still have vertigo and heart palpitations.

Release 9 — 6 months, dose 1

2021-09-14

Symptoms: Dizziness, light headedness

Release 10 — day 21, dose 2

2021-11-17

Symptoms: Last week I was very sick but Covid negative rapid test results.

Release 10 — day 28, dose 2

2021-11-23

Symptoms: Cough that comes intermittently for last two weeks

Release 10 — day 35, dose 2

2021-11-29

Symptoms: Think I have cold or flu symptoms

Release 10 — day 42, dose 2

2021-12-06

Symptoms: Lingering cough and chest congestion that won't go away. Headache.

Release 11 — 6 months, dose 2

2022-04-27

Symptoms: Congestion, nasal discharge for over two weeks. Cold/allergies possibly.

Release 12 — 12 months, dose 2

2022-10-25

Symptoms: Body aches, soreness. Tight muscles in arms, back and hands. Headaches as well.

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
SDCough · · ✓
SDDizziness · · ✓
SDHeadache · · ✓
SDMalaise · · ✓
SDMuscle tightness · · ✓
SDPain · · ✓
SDPalpitations ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUnevaluable event · · ✓
SDVertigo ✓ ✓ ✓

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