3TK-29651-32647
4 vaccinations
5 coded responses
35 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 722 / AR
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-17
Registered in v-safe
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Pain — Feeling: GoodFree text: March 14, 2021 , second day after my vaccination, I had a headache, felt tired and I had body aches like the flu.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
-
2021-04-03
Survey response — day 21, single doseMedDRA: Arthralgia, Chest pain, Musculoskeletal stiffness, Neck pain — Feeling: GoodFree text: Right side of neck , back of neck, back and right side of chest and shoulder was stiff and sore for several daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-06-14
Survey response — 3 months, dose 1MedDRA: Arthralgia, Back pain, Immunisation, Neck pain — Feeling: FairFree text: Back, hip , neck and shoulder pain . I also had a Shingle vaccination 4 days agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-11
-
2021-11-13
Dose 2 — Janssen/Johnson & Johnson
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-12
- 2021-12-19
- 2021-12-25
- 2022-02-12
-
2022-05-16
Survey response — 6 months, dose 2MedDRA: Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart palpitations · Healthcare visit (other): In person Dr visitMedDRA releases: 2024-11 · check-in free text available
-
2022-05-16
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-23
Dose 3 — Moderna
-
2022-06-22
Survey response — day 28, dose 3MedDRA: Heart valve incompetence, Office visit, Pericardial effusion — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart was being monitored, had some fluid around heart, two leaky valves · Healthcare visit (other): Visit to cardiologistMedDRA releases: 2024-11 · check-in free text available
-
2022-06-22
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-23
- 2022-06-23
-
2022-06-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-06-27
- 2022-07-04
- 2022-08-22
-
2022-09-24
Dose 4 — Moderna
- 2022-10-12
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-12-24
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-13 | Janssen/Johnson & Johnson | No |
| 3 | 2022-05-23 | Moderna | No |
| 4 | 2022-09-24 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): March 14, 2021 , second day after my vaccination, I had a headache, felt tired and I had body aches like the flu.
Release 6 — day 21, single dose
Symptoms: Right side of neck , back of neck, back and right side of chest and shoulder was stiff and sore for several days
Release 9 — 3 months, dose 1
Symptoms: Back, hip , neck and shoulder pain . I also had a Shingle vaccination 4 days ago
Release 11 — 6 months, dose 2
Release 12 — day 28, dose 3
Symptoms: Heart was being monitored, had some fluid around heart, two leaky valves
Healthcare visit (other): Visit to cardiologist
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Heart valve incompetence | · | · | ✓ |
| SD | Immunisation | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pericardial effusion | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release