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
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
-
2021-03-17
Health check-in — day 7, dose 1Feeling: Fair · Chills, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-24
- 2021-03-31
- 2021-04-07
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2021-04-14
Survey response — day 35, single doseMedDRA: Nausea, Rash — Feeling: FairFree text: Rash on my arms and back of neck, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 42, single doseMedDRA: Headache, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache every day. Could be allergy related. I do have seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
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2021-09-10
Survey response — 6 months, dose 1MedDRA: 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 visitFree 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
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2021-09-10
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-14
Call successfulDoes not wish to fill out VAERS report
-
2021-12-17
Dose 2 — Moderna
-
2022-03-10
Survey response — 12 months, dose 1MedDRA: Hospitalisation, Pre-existing disease, Surgery, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have stage IV Colon Cancer, I've had surgery, having another on the 22nd, have been doing chemo, been hospitalized etcMedDRA releases: 2024-11 · check-in free text available
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2022-03-20
Survey response — 3 months, dose 2MedDRA: 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 visitFree 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 centerMedDRA releases: 2024-11 · check-in free text available
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2022-03-20
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-17 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 7 — day 35, single dose
Symptoms: Rash on my arms and back of neck, nausea
Release 7 — day 42, single dose
Symptoms: Headache every day. Could be allergy related. I do have seasonal allergies
Release 9 — 6 months, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release