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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

  1. 2021-04-07
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-04-17
    Registered in v-safe
  3. 2021-04-17
    Survey response — day 7, dose 1
    MedDRA: Herpes simplex, Pre-existing disease — Feeling: Fair
    Free text: HSV-2 flare on lower back, despite prophylactic
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-21
    Survey response — day 14, dose 1
    MedDRA: Chest pain, Condition aggravated, Headache, Herpes simplex, Lymphadenopathy, Nausea, Pain in extremity, Pre-existing disease — Feeling: Fair
    Free 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
  5. 2021-04-30
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  6. 2021-05-07
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  7. 2021-05-12
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  8. 2021-05-19
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  9. 2021-07-07
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-10-06
    Survey response — 6 months, dose 1
    MedDRA: Blood alkaline phosphatase increased, Premature menopause — Feeling: Good
    Free text: #NAME?
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-09
    Dose 2 — Moderna
  12. 2022-04-08
    Survey response — 12 months, dose 1
    MedDRA: 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 visit
    Free 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
  13. 2022-04-08
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  14. 2022-04-13
  15. 2022-04-21
    Dose 3 — Moderna
  16. 2022-09-28
    Dose 4 — Pfizer-BioNTech
  17. 2022-09-28
    Health check-in — day 0, dose 4
    Feeling: Fair · Site: Pain · None
    Adult check-in
  18. 2022-09-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2022-09-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  20. 2022-10-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  21. 2022-10-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  22. 2022-10-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  23. 2022-10-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  24. 2022-10-05
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  25. 2022-10-12
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-10-19
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-10-26
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-11-02
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  29. 2022-11-09
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-12-28
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2023-03-29
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Janssen/Johnson & Johnson
22021-11-09Moderna No
32022-04-21Moderna No
42022-09-28Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-17

Systemic reaction (other): HSV-2 flare on lower back, despite prophylactic

Release 7 — day 14, dose 1

2021-04-21

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

2021-10-06

Symptoms: #NAME?

Release 11 — 12 months, dose 1

2022-04-08

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

FieldPreferred term2021-092023-042024-11
SDArthralgia · · ✓
SDBlood alkaline phosphatase increased · · ✓
SDBone density abnormal · · ✓
SDChest pain ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ○
SDHeadache ✓ ✓ ✓
SDHerpes simplex ✓ ✓ ✓
SDHypoaesthesia · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOffice visit · · ✓
SDOsteopenia · · ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease · · ✓
SDPremature menopause · · ✓
SROHerpes simplex ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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