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3T3-15950-43085

3 vaccinations 8 coded responses 32 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
967 / HI
Registered
2021-03-17
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-03-17
    Registered in v-safe
  3. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches
    Free text: Calves ache not sure if from exercise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-23
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  10. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-06
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  12. 2021-04-13
    Survey response — day 28, single dose
    MedDRA: Increased upper airway secretion, Rash macular, Rhinorrhoea — Feeling: Fair
    Free text: Red splotches on arm (1 on each arm) and legs (1 on each leg). Had then at least 2 weeks but never noted. Runny nose. Mucous in throat past week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-20
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  14. 2021-04-27
    Survey response — day 42, single dose
    MedDRA: Arthralgia, Contusion, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Shoulder pain, bruises on leg, right upper foot pain · Healthcare visit (other): Chiropractor, orthopedic doctor, masseuse
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-27
    Report sent to call center — day 42, single dose
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-05-27
  17. 2021-06-17
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2021-09-14
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  19. 2021-10-26
    Dose 2 — Moderna
  20. 2021-10-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-10-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-10-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-11-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  24. 2021-11-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  25. 2021-11-09
    Survey response — day 14, dose 2
    MedDRA: Injection site pain, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, sore arm where shot was
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-16
    Survey response — day 21, dose 2
    MedDRA: Rhinorrhoea, Sinus headache, Sneezing — Feeling: Fair
    Free text: Runny nose, sneezing, sinus headache
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-01-25
    Survey response — 3 months, dose 2
    MedDRA: Pain, SARS-CoV-2 test positive, Throat irritation — Feeling: Good
    Free text: Tested positive for covid. Symptoms, scratchy throat, body aches 12/21/22. Tested positive on 12/24. My whole family, including 6 mos old baby got covid.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-03-31
    Dose 3 — Moderna
  32. 2022-04-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-04-28
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-05-05
    Survey response — day 35, dose 3
    MedDRA: Increased viscosity of upper respiratory secretion — Feeling: Good
    Free text: More thick mucous.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-05-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-06-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-10-01
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2023-03-31
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Janssen/Johnson & Johnson
22021-10-26Moderna No
32022-03-31Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Sore throat

2021-03-21

Systemic reaction (other): Calves ache not sure if from exercise

Release 7 — day 28, single dose

2021-04-13

Symptoms: Red splotches on arm (1 on each arm) and legs (1 on each leg). Had then at least 2 weeks but never noted. Runny nose. Mucous in throat past week.

Release 8 — day 42, single dose

2021-04-27

Symptoms: Shoulder pain, bruises on leg, right upper foot pain
Healthcare visit (other): Chiropractor, orthopedic doctor, masseuse

Release 10 — day 14, dose 2

2021-11-09

Symptoms: Runny nose, sore arm where shot was

Release 10 — day 21, dose 2

2021-11-16

Symptoms: Runny nose, sneezing, sinus headache

Release 11 — 3 months, dose 2

2022-01-25

Symptoms: Tested positive for covid. Symptoms, scratchy throat, body aches 12/21/22. Tested positive on 12/24. My whole family, including 6 mos old baby got covid.

Release 11 — day 35, dose 3

2022-05-05

Symptoms: More thick mucous.

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 ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDContusion ✓ ✓ ✓
SDIncreased upper airway secretion ✓ ✓ ✓
SDIncreased viscosity of upper respiratory secretion · · ✓
SDInjection site pain · · ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDRash macular ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SDSinus headache · · ✓
SDSneezing · · ✓
SDThroat irritation · · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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