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43S-11260-12317

4 vaccinations 17 coded responses 48 check-ins 16 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
577 / SD
Registered
2021-03-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Registered in v-safe
  2. 2021-03-15
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: ears throbing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Injection site pain — Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches
    Free text: headache was over night and severe. ache is now only in shot area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia — Feeling: Good · Joint pains
    Free text: elbow, hip and knee pain developed in morning. Gone by late afternoon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear discomfort, Erythema, Headache, Pruritus, Urticaria — Feeling: Good · Fever · Rash, not including the immediate area around the injection site
    Free text: nose began to itch. within 30 min a red are on neck about 3" across. about 30 minutes later odd shaped welts within the patch. ear pressure, intermittent spike pain in head, mild pain with welts. dabbed w/anti pain itch ointment. a few hours later all fine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-22
    Survey response — day 7, dose 1
    MedDRA: Chills, Cough, Erythema, Fatigue, Urticaria — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: red area on neck returned 12hrs later with hives. welts in same half circle form. 99.6. fine by bed. woke to chills and cough. 100 by mid morn. couple hours later chills 96.8. feel wiped.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-29
    Survey response — day 14, dose 1
    MedDRA: Cough, Ear pain, Fatigue, Headache, Pyrexia — Feeling: Poor · Be unable to work
    Free text: Woke this morn with ear ache. Became headache, cough, low fever. Wiped.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-05
    Survey response — day 21, single dose
    MedDRA: Menstruation delayed — Feeling: Good
    Free text: Period is like clockwork. Came a week late.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-12
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  14. 2021-04-19
    Survey response — day 35, single dose
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair
    Free text: Minor sore throat and ear aches today. Otherwise, all good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-26
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  16. 2021-06-14
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-09-13
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2021-10-27
    Dose 2 — Moderna
  19. 2021-10-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  20. 2021-10-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: lymph nodes under shot arm swollen
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: ears ache
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  23. 2021-11-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: ear aches
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-11-03
    Health check-in — day 7, dose 2
    Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  25. 2021-11-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-24
    Survey response — day 28, dose 2
    MedDRA: Ear pain, Headache — Feeling: Fair
    Free text: Sudden ear ache with sudden sharp headache.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-12-01
    Survey response — day 35, dose 2
    MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sore throat, cough and exhaustion
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-12-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-01-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-04-27
    Survey response — 6 months, dose 2
    MedDRA: Office visit, Pneumonitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Went in after two weeks. Doc said virus going around inflammed lungs.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-04-27
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  33. 2022-04-29
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  34. 2022-06-10
    Dose 3 — Moderna
  35. 2022-06-10
    Health check-in — day 0, dose 3
    Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  36. 2022-06-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  37. 2022-06-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activities
    Free text: sore throat
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-06-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  39. 2022-06-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  40. 2022-06-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  41. 2022-06-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  42. 2022-06-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  43. 2022-06-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-07-01
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-07-08
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-07-15
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-07-22
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  48. 2022-09-09
    Survey response — 3 months, dose 3
    MedDRA: Eye irritation, Facial pain, Headache, Oropharyngeal pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Allergies (sharp headaches, face and throat pain, burning eyes) - fire smoke and outgasing of new office furniture
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-11-16
    Dose 4 — Moderna
  50. 2022-12-14
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  51. 2022-12-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-12-21
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-12-28
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  54. 2023-02-15
    Survey response — 3 months, dose 4
    MedDRA: Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  55. 2023-02-15
    Report sent to call center — 3 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  56. 2023-02-16
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  57. 2023-05-17
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Janssen/Johnson & Johnson
22021-10-27Moderna No
32022-06-10Moderna No
42022-11-16Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): ears throbing

2021-03-17

Systemic reaction (other): headache was over night and severe. ache is now only in shot area

2021-03-19

Systemic reaction (other): elbow, hip and knee pain developed in morning. Gone by late afternoon.

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): nose began to itch. within 30 min a red are on neck about 3" across. about 30 minutes later odd shaped welts within the patch. ear pressure, intermittent spike pain in head, mild pain with welts. dabbed w/anti pain itch ointment. a few hours later all fine.

Release 6 — day 7, dose 1

2021-03-22

Systemic reaction (other): red area on neck returned 12hrs later with hives. welts in same half circle form. 99.6. fine by bed. woke to chills and cough. 100 by mid morn. couple hours later chills 96.8. feel wiped.

Release 6 — day 14, dose 1

2021-03-29

Symptoms: Woke this morn with ear ache. Became headache, cough, low fever. Wiped.

Release 6 — day 21, single dose

2021-04-05

Symptoms: Period is like clockwork. Came a week late.

Release 7 — day 35, single dose

2021-04-19

Symptoms: Minor sore throat and ear aches today. Otherwise, all good.

Release 10 — days 1–6 daily, dose 2

2021-10-30

Systemic reaction (other): lymph nodes under shot arm swollen

2021-10-31

Systemic reaction (other): ears ache

2021-11-02

Systemic reaction (other): ear aches

Release 10 — day 28, dose 2

2021-11-24

Symptoms: Sudden ear ache with sudden sharp headache.

Release 10 — day 35, dose 2

2021-12-01

Symptoms: Sore throat, cough and exhaustion

Release 11 — 6 months, dose 2

2022-04-27

Symptoms: Went in after two weeks. Doc said virus going around inflammed lungs.

Release 12 — days 1–6 daily, dose 3

2022-06-12

Systemic reaction (other): sore throat

Release 12 — 3 months, dose 3

2022-09-09

Symptoms: Allergies (sharp headaches, face and throat pain, burning eyes) - fire smoke and outgasing of new office furniture

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
SDCough ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDEye irritation · · ✓
SDFacial pain · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMenstruation delayed ✓ ✓ ✓
SDOffice visit · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPneumonitis · · ✓
SDPre-existing disease · · ✓
SDPyrexia ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLymphadenopathy · · ✓
SROOropharyngeal pain · · ✓
SROPruritus ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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

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