4NK-18225-95141
3 vaccinations
14 coded responses
45 check-ins
14 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 945 / CA
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-10
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2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, NauseaAdult check-in
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Cough since wed eveningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Fair · Nausea, Abdominal painFree text: Cough is subsiding but still presentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
-
2021-03-17
Survey response — day 7, dose 1MedDRA: Adverse reaction — Feeling: Fair · Nausea, Abdominal painFree text: Very slight ... hopefully going awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
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2021-03-31
Survey response — day 21, single doseMedDRA: Headache — Feeling: GoodFree text: Rest of the occasional headache that I rarely ever got beforeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
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2021-04-14
Survey response — day 35, single doseMedDRA: Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have an upper respiratory virus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Report sent to call center — day 35, single doseGet care from a doctor or other healthcare professional1 call case(s)
- 2021-04-21
- 2021-04-21
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2021-04-22
Call successfulDoes not wish to fill out VAERS report
- 2021-06-09
-
2021-09-08
Survey response — 6 months, dose 1MedDRA: Bronchitis, Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chronic cough sorry seems like I am getting bronchitis often. This is third bought since shot.MedDRA releases: 2024-11 · check-in free text available
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2021-09-08
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-09
-
2021-11-10
Dose 2 — Moderna
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2021-11-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-11-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-11-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-11-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-11-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-11-16
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
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2021-12-15
Survey response — day 35, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Have a very bad coldMedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2022-02-09
- 2022-05-13
- 2022-11-10
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2022-11-22
Dose 3 — Pfizer-BioNTech
- 2022-11-22
- 2022-11-23
- 2022-11-24
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2022-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Fair · Fever · Chills, HeadacheFree text: I was exposed and think this is a cold.MedDRA releases: 2024-11 · check-in free text available
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2022-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: Back acheMedDRA releases: 2024-11 · check-in free text available
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2022-11-27
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Fair · Fever · ChillsFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2022-11-28
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Hyperhidrosis — Feeling: FairFree text: Cough and sweatingMedDRA releases: 2024-11 · check-in free text available
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2022-11-29
Survey response — day 7, dose 3MedDRA: Cough — Feeling: FairFree text: Still a cough but good.MedDRA releases: 2024-11 · check-in free text available
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2022-12-06
Survey response — day 14, dose 3MedDRA: Cough, Night sweats — Feeling: FairFree text: Cough and night sweatsMedDRA releases: 2024-11 · check-in free text available
- 2022-12-13
- 2022-12-20
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2022-12-27
Survey response — day 35, dose 3MedDRA: Cough — Feeling: FairFree text: A deep cough - in my chest.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-03
- 2023-02-21
- 2023-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-10 | Moderna | No |
| 3 | 2022-11-22 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Cough since wed evening
Systemic reaction (other): Cough is subsiding but still present
Release 5 — day 7, dose 1
Systemic reaction (other): Very slight ... hopefully going away
Release 6 — day 21, single dose
Symptoms: Rest of the occasional headache that I rarely ever got before
Release 7 — day 35, single dose
Symptoms: I have an upper respiratory virus.
Release 9 — 6 months, dose 1
Symptoms: Chronic cough sorry seems like I am getting bronchitis often. This is third bought since shot.
Release 10 — day 35, dose 2
Symptoms: Have a very bad cold
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): I was exposed and think this is a cold.
Systemic reaction (other): Back ache
Systemic reaction (other): Cough
Systemic reaction (other): Cough and sweating
Release 12 — day 7, dose 3
Systemic reaction (other): Still a cough but good.
Release 12 — day 14, dose 3
Symptoms: Cough and night sweats
Release 12 — day 35, dose 3
Symptoms: A deep cough - in my chest.
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 | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Upper respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release