45T-19859-80274
3 vaccinations
12 coded responses
34 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 945 / CA
- Registered
- 2021-04-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-29
Registered in v-safe
- 2021-04-29
- 2021-04-30
- 2021-05-09
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2021-05-15
Survey response — day 35, single doseMedDRA: Arthralgia, Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Skin rash, aching joins, also had skin rash 8 days after the vaccine. · Healthcare visit (other): Dermatologist for the rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Report sent to call center — day 35, single doseGet care from a doctor or other healthcare professional1 call case(s)
-
2021-05-21
Survey response — day 42, single doseMedDRA: Arthralgia, Rash — Feeling: FairFree text: My joints are hurting as much. Rash was gone first of the week. Doing better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
-
2021-06-02
Call successfulCompleted over the phone
- 2021-07-09
- 2021-10-08
-
2021-11-12
Dose 2 — Janssen/Johnson & Johnson
- 2021-11-12
-
2021-11-13
Survey response — days 1–6 daily, dose 2MedDRA: Neck pain — Feeling: Fair · Fatigue or tirednessFree text: My neck achesMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Fair · Headache, Fatigue or tirednessFree text: Stiff neckMedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — days 1–6 daily, dose 2MedDRA: Muscle tightness — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Neck is still a little tightMedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Survey response — days 1–6 daily, dose 2MedDRA: Muscle tightness — Feeling: Good · HeadacheFree text: Some tightness in my neckMedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Neck pain — Feeling: Good · HeadacheFree text: Headache goes down in my neckMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — day 7, dose 2MedDRA: Muscle tightness, Neck pain — Feeling: Good · HeadacheFree text: Left side of my neck still tight and sore. Shot was given in my left arm. Mosit heat is helping.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
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2022-11-04
Dose 3 — Moderna
- 2022-11-05
- 2022-11-06
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2022-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Stiff neckMedDRA releases: 2024-11 · check-in free text available
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2022-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Muscle tightness — Feeling: Good · HeadacheFree text: Neck is still a little tightMedDRA releases: 2024-11 · check-in free text available
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2022-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal stiffness — Feeling: Good · HeadacheFree text: Stiffnes in neck is getting betterMedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal stiffness — Feeling: Good · HeadacheFree text: A little stiff neckMedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2023-02-03
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-12 | Janssen/Johnson & Johnson | No |
| 3 | 2022-11-04 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 8 — day 35, single dose
Symptoms: Skin rash, aching joins, also had skin rash 8 days after the vaccine.
Healthcare visit (other): Dermatologist for the rash.
Release 8 — day 42, single dose
Symptoms: My joints are hurting as much. Rash was gone first of the week. Doing better.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): My neck aches
Systemic reaction (other): Stiff neck
Systemic reaction (other): Neck is still a little tight
Systemic reaction (other): Some tightness in my neck
Systemic reaction (other): Headache goes down in my neck
Release 10 — day 7, dose 2
Systemic reaction (other): Left side of my neck still tight and sore. Shot was given in my left arm. Mosit heat is helping.
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): Stiff neck
Systemic reaction (other): Neck is still a little tight
Systemic reaction (other): Stiffnes in neck is getting better
Systemic reaction (other): A little stiff neck
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 | ✓ | ✓ | ✓ |
| HCVO | Rash | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Muscle tightness | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release