4E7-20090-62452
4 vaccinations
12 coded responses
39 check-ins
11 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-11
- 2021-03-12
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: FairFree text: Dizzy todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-19
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-13
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2021-09-09
Survey response — 6 months, dose 1MedDRA: Dyspnoea, Pre-existing disease, SARS-CoV-2 test, Upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Seasonal allergies upper respiratory infection hard time breathing was checked for Covid nothingMedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Dose 2 — Moderna
-
2021-10-31
Health check-in — day 7, dose 2Feeling: Poor · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-08
-
2021-11-14
Survey response — day 21, dose 2MedDRA: Headache, Pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bodyaches with a massive headache and sinusMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — day 28, dose 2MedDRA: Headache, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache Stiff neckMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
-
2022-01-21
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Fatigue — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stomach pain and Diarrhea very tiredMedDRA releases: 2024-11 · check-in free text available
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2022-04-07
Dose 3 — Moderna
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2022-04-22
Survey response — 6 months, dose 2MedDRA: COVID-19, SARS-CoV-2 test — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Covid-19 January 25 2020 Also found out I had Covid-19 June 2 2021 · Healthcare visit (other): Covid-19 test WalgreensMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-25
- 2022-07-10
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2022-09-27
Dose 4 — Moderna
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2022-09-27
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: Good · Site: Pain · HeadacheFree text: NsMedDRA releases: 2024-11 · check-in free text available
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2022-09-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Itching · HeadacheAdult check-in
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2022-09-29
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, NauseaFree text: DizzyMedDRA releases: 2024-11 · check-in free text available
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2022-09-30
Survey response — days 1–6 daily, dose 4MedDRA: Diarrhoea — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Nausea, DiarrheaFree text: Bed DiarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
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2022-10-11
Survey response — day 14, dose 4MedDRA: Injection site discolouration, Injection site pain — Feeling: FairFree text: Sleep at injection is still black and blue and still hurtsMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-09
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2022-12-27
Survey response — 3 months, dose 4MedDRA: Back pain, Diarrhoea, Headache — Feeling: FairFree text: Diarrhea headache back hurtsMedDRA releases: 2024-11 · check-in free text available
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2023-03-28
Survey response — 6 months, dose 4MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-22 | Moderna | No |
| 3 | 2022-04-07 | Moderna | No |
| 4 | 2022-09-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy today
Release 9 — 6 months, dose 1
Symptoms: Seasonal allergies upper respiratory infection hard time breathing was checked for Covid nothing
Release 10 — day 21, dose 2
Symptoms: Bodyaches with a massive headache and sinus
Release 10 — day 28, dose 2
Symptoms: Headache Stiff neck
Release 11 — 3 months, dose 2
Symptoms: Stomach pain and Diarrhea very tired
Release 11 — 6 months, dose 2
Symptoms: Covid-19 January 25 2020 Also found out I had Covid-19 June 2 2021
Healthcare visit (other): Covid-19 test Walgreens
Release 12 — day 0, dose 4
Systemic reaction (other): Ns
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Dizzy
Systemic reaction (other): Bed Diarrhea
Release 12 — day 14, dose 4
Symptoms: Sleep at injection is still black and blue and still hurts
Release 12 — 3 months, dose 4
Symptoms: Diarrhea headache back hurts
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 |
|---|---|---|---|---|
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site discolouration | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release