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4BP-11712-90602

2 vaccinations 4 coded responses 12 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
010 / MA
Registered
2021-03-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-03-14
    Registered in v-safe
  3. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: When I bend over, my head aches a little, but when I straighten up, the pain goes away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia, Pain in extremity — Feeling: Good · Site: Pain
    Free text: Pain in the arm I got the shot in woke me during the night. It bothered me while I was driving today, but other than that, it wasnt too bad. It hurts mostly in the bicep area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Arm that I got the shot in is still a little sore today. Not at the site, mostly the bicep. It isnt nearly as bothersome as yesterday, though.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-06-14
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-09-11
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-11-07
    Dose 2 — Moderna
  11. 2021-11-07
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-11-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good
    Free text: Can feel it only if I touch my arm or lift it over my head, but it doesn't hurt.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-11-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-11-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-11-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Janssen/Johnson & Johnson
22021-11-07Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): When I bend over, my head aches a little, but when I straighten up, the pain goes away.

2021-03-15

Systemic reaction (other): Pain in the arm I got the shot in woke me during the night. It bothered me while I was driving today, but other than that, it wasnt too bad. It hurts mostly in the bicep area.

2021-03-16

Systemic reaction (other): Arm that I got the shot in is still a little sore today. Not at the site, mostly the bicep. It isnt nearly as bothersome as yesterday, though.

Release 10 — days 1–6 daily, dose 2

2021-11-08

Systemic reaction (other): Can feel it only if I touch my arm or lift it over my head, but it doesn't hurt.

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
SROAdverse reaction · · ✓
SROHeadache ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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