49V-26059-61073
4 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 941 / CA
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-17
Registered in v-safe
-
2021-04-17
Survey response — day 7, dose 1MedDRA: Herpes simplex, Pre-existing disease — Feeling: FairFree text: HSV-2 flare on lower back, despite prophylacticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Survey response — day 14, dose 1MedDRA: Chest pain, Condition aggravated, Headache, Herpes simplex, Lymphadenopathy, Nausea, Pain in extremity, Pre-existing disease — Feeling: FairFree text: Bad chest and left arm pain on Saturday, which went away after an hour. Intermittent nausea, leg pain and headache, but doesn't last long. HSV-2 has flared-up, despite prophylactics. Mildly swollen pelvic lymph nodes (probably due to HSV-2 flare).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
- 2021-05-12
- 2021-05-19
- 2021-07-07
-
2021-10-06
Survey response — 6 months, dose 1MedDRA: Blood alkaline phosphatase increased, Premature menopause — Feeling: GoodFree text: #NAME?MedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Dose 2 — Moderna
-
2022-04-08
Survey response — 12 months, dose 1MedDRA: Arthralgia, Blood alkaline phosphatase increased, Bone density abnormal, Headache, Hypoaesthesia, Office visit, Osteopenia, Pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Joint pain, hand numbness, throbbing in spine and head. I have an appt with a neurologist. Also, severe osteopenia per a DEXA scan and elevated bone Alk Phos.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-13
-
2022-04-21
Dose 3 — Moderna
-
2022-09-28
Dose 4 — Pfizer-BioNTech
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-09 | Moderna | No |
| 3 | 2022-04-21 | Moderna | No |
| 4 | 2022-09-28 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): HSV-2 flare on lower back, despite prophylactic
Release 7 — day 14, dose 1
Symptoms: Bad chest and left arm pain on Saturday, which went away after an hour. Intermittent nausea, leg pain and headache, but doesn't last long. HSV-2 has flared-up, despite prophylactics. Mildly swollen pelvic lymph nodes (probably due to HSV-2 flare).
Release 10 — 6 months, dose 1
Symptoms: #NAME?
Release 11 — 12 months, dose 1
Symptoms: Joint pain, hand numbness, throbbing in spine and head. I have an appt with a neurologist. Also, severe osteopenia per a DEXA scan and elevated bone Alk Phos.
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 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Blood alkaline phosphatase increased | · | · | ✓ |
| SD | Bone density abnormal | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ○ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Herpes simplex | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Osteopenia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Premature menopause | · | · | ✓ |
| SRO | Herpes simplex | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release