47R-78327-70808
3 vaccinations
4 coded responses
21 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 539 / WI
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-01
Registered in v-safe
- 2021-04-01
- 2021-04-02
- 2021-04-03
-
2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Nervousness — Feeling: Good · Headache, Diarrhea · Be unable to do your normal daily activitiesFree text: Light headed and Shaky. These symptoms occurred after I took my symbicort medication. Lasted about 90 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
-
2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain — Feeling: GoodFree text: Neck pane left sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
-
2021-04-14
Survey response — day 14, dose 1MedDRA: Arthralgia, Fatigue, Headache, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Mild to moderate Headaches off and on. Pinpoint pain in my head, this does not last too long and has happened 3 times. Achy and painful to walk hip joints. Very Tired, but not sleeping well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-07-02
-
2021-09-29
Survey response — 6 months, dose 1MedDRA: Atrial tachycardia, Cardiac disorder, Dizziness, Fibrin D dimer increased, Neutrophil count increased, Office visit, Palpitations, Supraventricular extrasystoles, Tachycardia, Ventricular extrasystoles, White blood cell count increased — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart problems, dizziness, lighted headed. ECHO, 21-day heart event monitor. Elevated D-dimer, White Blood Cells, Absolute NeutrophilsHeart Problems - Premature atrial ventricular contractions. Short runs of atrial tachycardia. · Healthcare visit (other): Dr's Appt, Blood work, chest x-ray, EKG, ECHO, 21-day heart event monitorMedDRA releases: 2024-11 · check-in free text available
-
2021-09-29
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-03
-
2022-01-04
Dose 2 — Moderna
- 2022-04-04
-
2022-10-28
Dose 3 — ModernaCo-administered: Flu
- 2022-11-05
- 2022-11-22
- 2022-11-25
- 2022-12-05
- 2022-12-10
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Janssen/Johnson & Johnson | |
| 2 | 2022-01-04 | Moderna | No |
| 3 | 2022-10-28 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Light headed and Shaky. These symptoms occurred after I took my symbicort medication. Lasted about 90 minutes
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Neck pane left side
Release 7 — day 14, dose 1
Symptoms: Mild to moderate Headaches off and on. Pinpoint pain in my head, this does not last too long and has happened 3 times. Achy and painful to walk hip joints. Very Tired, but not sleeping well.
Release 9 — 6 months, dose 1
Symptoms: Heart problems, dizziness, lighted headed. ECHO, 21-day heart event monitor. Elevated D-dimer, White Blood Cells, Absolute NeutrophilsHeart Problems - Premature atrial ventricular contractions. Short runs of atrial tachycardia.
Healthcare visit (other): Dr's Appt, Blood work, chest x-ray, EKG, ECHO, 21-day heart event monitor
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 | Atrial tachycardia | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Fibrin D dimer increased | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Neutrophil count increased | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Poor quality sleep | ✓ | ✓ | ✓ |
| SD | Supraventricular extrasystoles | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
| SD | White blood cell count increased | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release