3M3-22871-01687
4 vaccinations
7 coded responses
57 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Mild ache in arms during the night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-05-01
Survey response — day 42, single doseMedDRA: Nasopharyngitis — Feeling: FairFree text: Sinus-allergy-cold.Dont think it is covid or relative to vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-19
- 2021-09-18
-
2021-11-05
Dose 2 — Moderna
- 2021-11-05
- 2021-11-06
-
2021-11-07
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Pain in extremity — Feeling: GoodFree text: Mild pain when injection site touched. Upper arms a little achy.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
-
2022-04-06
Dose 3 — Moderna
- 2022-04-06
-
2022-04-07
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Pain in extremity, Self-medication — Feeling: Good · Chills, Muscle or body achesFree text: Chills and achy arm during the night. Took Ibuprofen and drank lots of waterMedDRA releases: 2024-11 · check-in free text available
- 2022-04-08
- 2022-04-09
- 2022-04-10
-
2022-04-11
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: Headache could be weather relatedMedDRA releases: 2024-11 · check-in free text available
- 2022-04-12
- 2022-04-13
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
-
2022-09-27
Dose 4 — Moderna
- 2022-09-27
-
2022-09-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-09-29
-
2022-09-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-10-01
-
2022-10-02
Survey response — days 1–6 daily, dose 4MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache could be cold weather changeMedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
-
2022-12-27
Survey response — 3 months, dose 4MedDRA: Fatigue, Headache, Loss of personal independence in daily activities, Malaise, Oropharyngeal pain, Paranasal sinus hypersecretion, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Felt too sick to do normal activities on 12-18-23. Headache, tired, sinus drainage causing sore throat. Home tested negative. Home tested negative again on 12-19-22. Home test positive on 12-20-22. I know how I contacted Covid-19.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-05 | Moderna | No |
| 3 | 2022-04-06 | Moderna | No |
| 4 | 2022-09-27 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Mild ache in arms during the night.
Release 8 — day 42, single dose
Symptoms: Sinus-allergy-cold.Dont think it is covid or relative to vaccination.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Mild pain when injection site touched. Upper arms a little achy.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Chills and achy arm during the night. Took Ibuprofen and drank lots of water
Systemic reaction (other): Headache could be weather related
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Headache could be cold weather change
Release 12 — 3 months, dose 4
Symptoms: Felt too sick to do normal activities on 12-18-23. Headache, tired, sinus drainage causing sore throat. Home tested negative. Home tested negative again on 12-19-22. Home test positive on 12-20-22. I know how I contacted Covid-19.
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 | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release