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48T-26527-54726

4 vaccinations 5 coded responses 19 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
537 / WI
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-04-15
    Registered in v-safe
  3. 2021-04-15
    Survey response — day 35, single dose
    MedDRA: Headache, Hypoaesthesia, Immediate post-injection reaction, Malaise — Feeling: Good
    Free text: W/i 15 min of shot, numbness on left eyelid, cheek and lip; all decreased quickly with residual effects for 2 wks. On 3/11, for 7-8 hrs, dull headache, both hemispheres, transverse plane, with fmild malaise.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-21
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  5. 2021-06-09
    Survey response — 3 months, dose 1
    MedDRA: Chest pain, Pain, Pain in extremity, Rash, Self-medication — Feeling: Fair
    Free text: Rash on arm, might be pouson oak.Chest to left arm pain, more pronounced whrn i move my torso, just for last 2 days. Tylenol provides some relief.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-09-08
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-10-25
    Dose 2 — Pfizer-BioNTech
    Co-administered: Flu
  8. 2022-03-10
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in
  9. 2022-04-30
    Dose 3 — Moderna
  10. 2022-10-11
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  11. 2022-10-11
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · Chills, Headache, Abdominal pain
    Adult check-in
  12. 2022-10-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2022-10-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  14. 2022-10-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  15. 2022-10-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  16. 2022-10-17
    Survey response — days 1–6 daily, dose 4
    MedDRA: Hypersensitivity, Pre-existing disease, Sneezing — Feeling: Good
    Free text: Lots of sneezing both indoors and out. I attribute to allergies but more severe than in recent years
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-10-18
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  18. 2022-10-25
    Survey response — day 14, dose 4
    MedDRA: Dyspepsia, Gastrooesophageal reflux disease, Nerve compression, Pain, Pain in extremity — Feeling: Fair · 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: Pinched nerve in neck with radiating pain down right arm Heartburn likely symptom of GERD
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-10-25
    Report sent to call center — day 14, dose 4
    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)
  20. 2022-10-26
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  21. 2022-11-01
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  22. 2022-11-08
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-11-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-11-22
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  25. 2023-01-10
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  26. 2023-04-11
    Survey response — 6 months, dose 4
    MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  27. 2023-04-11
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  28. 2023-04-12
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Janssen/Johnson & Johnson
22021-10-25Pfizer-BioNTech Flu
32022-04-30Moderna No
42022-10-11Pfizer-BioNTech Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 35, single dose

2021-04-15

Symptoms: W/i 15 min of shot, numbness on left eyelid, cheek and lip; all decreased quickly with residual effects for 2 wks. On 3/11, for 7-8 hrs, dull headache, both hemispheres, transverse plane, with fmild malaise.

Release 8 — 3 months, dose 1

2021-06-09

Symptoms: Rash on arm, might be pouson oak.Chest to left arm pain, more pronounced whrn i move my torso, just for last 2 days. Tylenol provides some relief.

Release 12 — days 1–6 daily, dose 4

2022-10-17

Systemic reaction (other): Lots of sneezing both indoors and out. I attribute to allergies but more severe than in recent years

Release 12 — day 14, dose 4

2022-10-25

Symptoms: Pinched nerve in neck with radiating pain down right arm Heartburn likely symptom of GERD

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
SDChest pain ✓ ✓ ✓
SDDyspepsia · · ✓
SDGastrooesophageal reflux disease · · ✓
SDHeadache ✓ ✓ ✓
SDHypertension · · ✓
SDHypoaesthesia ✓ ✓ ✓
SDImmediate post-injection reaction ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDNerve compression · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDRash ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROHypersensitivity · · ✓
SROPre-existing disease · · ✓
SROSneezing · · ✓

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