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3D4-29292-88168

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
640 / MO
Registered
2021-03-10
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Fair · Chills, Rash, not including the immediate area around the injection site
    Adult check-in
  11. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-31
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  13. 2021-04-07
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  14. 2021-04-14
    Survey response — day 35, single dose
    MedDRA: Nausea, Rash — Feeling: Fair
    Free text: Rash on my arms and back of neck, nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-21
    Survey response — day 42, single dose
    MedDRA: Headache, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache every day. Could be allergy related. I do have seasonal allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-09
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  17. 2021-09-10
    Survey response — 6 months, dose 1
    MedDRA: Abdominal pain upper, Pyrexia, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Got my flu shot and the next day started vomiting and having terrible upper abdomen pain and fever.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-09-10
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-09-14
    Call successful
    Does not wish to fill out VAERS report
  20. 2021-12-17
    Dose 2 — Moderna
  21. 2022-03-10
    Survey response — 12 months, dose 1
    MedDRA: Hospitalisation, Pre-existing disease, Surgery, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I have stage IV Colon Cancer, I've had surgery, having another on the 22nd, have been doing chemo, been hospitalized etc
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-03-20
    Survey response — 3 months, dose 2
    MedDRA: Office visit, Pre-existing disease — Feeling: Poor · 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: Symptoms: I have stage IV Colon Cancer and I am having a biopsy of the Omentum on March 22nd. I am in chemo currently. · Healthcare visit (other): Cancer center
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-03-20
    Report sent to call center — 3 months, dose 2
    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 · 1 call case(s)
  24. 2022-03-22

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Janssen/Johnson & Johnson
22021-12-17Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — day 35, single dose

2021-04-14

Symptoms: Rash on my arms and back of neck, nausea

Release 7 — day 42, single dose

2021-04-21

Symptoms: Headache every day. Could be allergy related. I do have seasonal allergies

Release 9 — 6 months, dose 1

2021-09-10

Symptoms: Got my flu shot and the next day started vomiting and having terrible upper abdomen pain and fever.

Release 11 — 12 months, dose 1

2022-03-10

Symptoms: I have stage IV Colon Cancer, I've had surgery, having another on the 22nd, have been doing chemo, been hospitalized etc

Release 11 — 3 months, dose 2

2022-03-20

Symptoms: I have stage IV Colon Cancer and I am having a biopsy of the Omentum on March 22nd. I am in chemo currently.
Healthcare visit (other): Cancer center

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
HCVOOffice visit · · ✓
SDAbdominal pain upper · · ✓
SDHeadache ✓ ✓ ✓
SDHospitalisation · · ✓
SDNausea ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia · · ✓
SDRash ✓ ✓ ✓
SDSurgery · · ✓
SDUnevaluable event · · ✓
SDVomiting · · ✓

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