4S8-25650-14489
2 vaccinations
5 coded responses
29 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 461 / IN
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Fatigue or tirednessAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
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2021-05-05
Survey response — day 35, single doseMedDRA: Muscle tightness, Musculoskeletal stiffness, Nerve compression, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pinched/tight neck and shoulders · Healthcare visit (other): Chiropractor adjustmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — day 35, single doseGet care from a doctor or other healthcare professional1 call case(s)
-
2021-05-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-06-30
-
2021-09-29
Survey response — 6 months, dose 1MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had a sore throat followed by head cold/runny nose for about two weeks. However, two tests for me and a third of a family member with the same thing were all negative for COVID, and Ive recovered. Doctor said what I had was going around.MedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Dose 2 — Pfizer-BioNTech
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2021-11-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
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2022-02-19
Survey response — 3 months, dose 2MedDRA: COVID-19, Cough, Oropharyngeal discomfort, Oropharyngeal pain, Sinus disorder — Feeling: GoodFree text: Had COVID in mid-January, a mild case that seems to be over. Mild sore throat, sinus symptoms, followed by dry cough/throat tickle.MedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Survey response — 6 months, dose 2MedDRA: COVID-19, Nasopharyngitis, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID (with regular cold symptoms) in January and then allergies and/or a cold in April and May, mild.MedDRA releases: 2024-11 · check-in free text available
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2022-11-20
Survey response — 12 months, dose 2MedDRA: Impaired work ability, Laryngitis, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinusitis — 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 consultationFree text: Laryngitis (3-4 days) and sinus infection (following for a couple of weeks) in October, had to work part time instead of full. Tested positive for COVID end of July, no symptoms. Negative with office test 2 days later; overall unknown.MedDRA releases: 2024-11 · check-in free text available
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2022-11-20
Report sent to call center — 12 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 · 1 call case(s)
- 2022-11-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-20 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 8 — day 35, single dose
Symptoms: Pinched/tight neck and shoulders
Healthcare visit (other): Chiropractor adjustment
Release 9 — 6 months, dose 1
Symptoms: Had a sore throat followed by head cold/runny nose for about two weeks. However, two tests for me and a third of a family member with the same thing were all negative for COVID, and Ive recovered. Doctor said what I had was going around.
Release 11 — 3 months, dose 2
Symptoms: Had COVID in mid-January, a mild case that seems to be over. Mild sore throat, sinus symptoms, followed by dry cough/throat tickle.
Release 11 — 6 months, dose 2
Symptoms: COVID (with regular cold symptoms) in January and then allergies and/or a cold in April and May, mild.
Release 12 — 12 months, dose 2
Symptoms: Laryngitis (3-4 days) and sinus infection (following for a couple of weeks) in October, had to work part time instead of full. Tested positive for COVID end of July, no symptoms. Negative with office test 2 days later; overall unknown.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nerve compression | ✓ | ✓ | ✓ |
| SD | Oropharyngeal discomfort | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release