35F-12766-85798
3 vaccinations
6 coded responses
39 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 935 / CA
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Janssen/Johnson & Johnson
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2021-03-24
Registered in v-safe
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2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-03-26
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: I woke up with and have had a sore throat all dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-29
- 2021-03-30
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2021-04-06
Survey response — day 14, dose 1MedDRA: Flank pain, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I don't believe it's related to the vaccine but today I am experiencing right flank muscle spasm and pain. Possibly due to sleeping wrong or a sudden movement.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-20
- 2021-04-28
- 2021-05-04
- 2021-06-22
- 2021-09-21
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2021-10-25
Dose 2 — Moderna
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2021-10-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
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2021-12-08
Survey response — day 42, dose 2MedDRA: Abdominal pain, Constipation, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Constipation and lower right quadrant pain. This is a regular occurence for me and I don't believe it's related to the vaccine.MedDRA releases: 2024-11 · check-in free text available
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2022-01-24
Survey response — 3 months, dose 2MedDRA: Cough, Respiratory tract congestion, Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I developed an upper respiratory infection with a long lingering cpugh and congestionMedDRA releases: 2024-11 · check-in free text available
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2022-01-24
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-26
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2022-01-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-08
Dose 3 — ModernaCo-administered: Pneumonia
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2022-04-09
Survey response — days 1–6 daily, dose 3MedDRA: Lethargy, Pyrexia — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have felt feverish lethargy while having a normal tempMedDRA releases: 2024-11 · check-in free text available
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2022-04-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-04-12
- 2022-04-13
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
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2022-10-09
Survey response — 6 months, dose 3MedDRA: Cough, Emergency care, Influenza like illness, Malaise, Oxygen saturation decreased, Respiratory symptom, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I became ill flu type symptoms on 9/6/22. I tested positive for covid on 9/7/22. My symptoms included uri symptoms and O2 sats were 92. I was treated at ER w/nebulizer meds, inhalers, paxlovid and later prednisone. Had lingering cough now resolved.MedDRA releases: 2024-11 · check-in free text available
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2022-10-09
Report sent to call center — 6 months, dose 3Be 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)
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2022-10-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Moderna | No |
| 3 | 2022-04-08 | Moderna | Pneumonia |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I woke up with and have had a sore throat all day
Release 7 — day 14, dose 1
Symptoms: I don't believe it's related to the vaccine but today I am experiencing right flank muscle spasm and pain. Possibly due to sleeping wrong or a sudden movement.
Release 10 — day 42, dose 2
Symptoms: Constipation and lower right quadrant pain. This is a regular occurence for me and I don't believe it's related to the vaccine.
Release 11 — 3 months, dose 2
Symptoms: I developed an upper respiratory infection with a long lingering cpugh and congestion
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): I have felt feverish lethargy while having a normal temp
Release 12 — 6 months, dose 3
Symptoms: I became ill flu type symptoms on 9/6/22. I tested positive for covid on 9/7/22. My symptoms included uri symptoms and O2 sats were 92. I was treated at ER w/nebulizer meds, inhalers, paxlovid and later prednisone. Had lingering cough now resolved. cut off by CDC
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 | Abdominal pain | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Flank pain | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Lethargy | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release