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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

  1. 2021-03-31
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-04-01
    Registered in v-safe
  3. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Nervousness — Feeling: Good · Headache, Diarrhea · Be unable to do your normal daily activities
    Free text: Light headed and Shaky. These symptoms occurred after I took my symbicort medication. Lasted about 90 minutes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Neck pain — Feeling: Good
    Free text: Neck pane left side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-14
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Fatigue, Headache, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  11. 2021-04-21
    Health check-in — day 21, single dose
    Feeling: Poor
    Adult check-in
  12. 2021-04-28
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  13. 2021-05-05
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  14. 2021-05-12
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  15. 2021-07-02
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-09-29
    Survey response — 6 months, dose 1
    MedDRA: 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 professional
    Free 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 monitor
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-09-29
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-12-03
  19. 2022-01-04
    Dose 2 — Moderna
  20. 2022-04-04
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in
  21. 2022-10-28
    Dose 3 — Moderna
    Co-administered: Flu
  22. 2022-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2022-11-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-12-05
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  27. 2023-04-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Janssen/Johnson & Johnson
22022-01-04Moderna No
32022-10-28Moderna Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

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

2021-04-06

Systemic reaction (other): Neck pane left side

Release 7 — day 14, dose 1

2021-04-14

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

2021-09-29

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDArthralgia ✓ ✓ ✓
SDAtrial tachycardia · · ✓
SDCardiac disorder · · ✓
SDDizziness · · ✓
SDFatigue ✓ ✓ ✓
SDFibrin D dimer increased · · ✓
SDHeadache ✓ ✓ ✓
SDNeutrophil count increased · · ✓
SDPalpitations · · ✓
SDPoor quality sleep ✓ ✓ ✓
SDSupraventricular extrasystoles · · ✓
SDTachycardia · · ✓
SDVentricular extrasystoles · · ✓
SDWhite blood cell count increased · · ✓
SRODizziness ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONervousness ✓ ✓ ✓

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