3A7-17150-39105
3 vaccinations
8 coded responses
17 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 863 / AZ
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Urticaria — Feeling: Good · Site: PainFree text: Hives all over, but I dont know if its from the shot or just hivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Self-medication, Urticaria — Feeling: Good · Site: PainFree text: I have had hives since I got the shot. However it could just be from something else. Ive just taken Benadryl to stop the itch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
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2021-04-02
Survey response — day 14, dose 1MedDRA: Urticaria — Feeling: GoodFree text: I dont know if its related to the shot but Ive been having a lot of hives. I get the. Sometimes but I didnt have them before the shot and got them just a few hours after.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
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2021-04-16
Survey response — day 28, single doseMedDRA: Peripheral swelling — Feeling: FairFree text: My legs have started swelling. It started several weeks ago but I didnt think anything of it. Now Im worried...coins it be a blood clot?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
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2021-04-30
Survey response — day 42, single doseMedDRA: Hypersensitivity, Peripheral swelling — Feeling: FairFree text: More allergic symptoms and legs are still swelling. Ive never had swollen legs before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Survey response — 3 months, dose 1MedDRA: Sinusitis, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: A sinus infection worse than Ive ever had. Amoxicillin didnt work. Seeing an ent next week. This has been going on for 5 weeks. Related to the vaccine??? Who knows but Im guessing not · Healthcare visit (other): Still waiting to get in person appointment. Long waitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-22
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2021-09-17
Survey response — 6 months, dose 1MedDRA: Urticaria — Feeling: Good · Be unable to do your normal daily activitiesFree text: Hives.lots of hives.it is getting so bad, I cant get my hair colored anymore. Never had them on my head and theyre all,over my body. Those come and go. I wonder if I was allergic to something in the vaccineMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Dose 2 — Janssen/Johnson & Johnson
- 2022-02-04
- 2022-05-06
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2022-07-18
Dose 3 — Moderna
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2023-01-18
Survey response — 6 months, dose 3MedDRA: Fatigue, Office visit, Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-01-18
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2023-01-19
- 2023-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-05 | Janssen/Johnson & Johnson | No |
| 3 | 2022-07-18 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Hives all over, but I dont know if its from the shot or just hives
Systemic reaction (other): I have had hives since I got the shot. However it could just be from something else. Ive just taken Benadryl to stop the itch.
Release 6 — day 14, dose 1
Symptoms: I dont know if its related to the shot but Ive been having a lot of hives. I get the. Sometimes but I didnt have them before the shot and got them just a few hours after.
Release 7 — day 28, single dose
Symptoms: My legs have started swelling. It started several weeks ago but I didnt think anything of it. Now Im worried...coins it be a blood clot?
Release 8 — day 42, single dose
Symptoms: More allergic symptoms and legs are still swelling. Ive never had swollen legs before.
Release 9 — 3 months, dose 1
Symptoms: A sinus infection worse than Ive ever had. Amoxicillin didnt work. Seeing an ent next week. This has been going on for 5 weeks. Related to the vaccine??? Who knows but Im guessing not
Healthcare visit (other): Still waiting to get in person appointment. Long wait
Release 9 — 6 months, dose 1
Symptoms: Hives.lots of hives.it is getting so bad, I cant get my hair colored anymore. Never had them on my head and theyre all,over my body. Those come and go. I wonder if I was allergic to something in the vaccine
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release