58X-63306-60849
3 vaccinations
7 coded responses
27 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 019 / MA
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-06
Dose 1 — Janssen/Johnson & Johnson
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2021-03-07
Registered in v-safe
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Chills, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-08
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Muscle or body achesAdult check-in
- 2021-03-10
- 2021-03-11
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
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2021-04-17
Survey response — day 42, single doseMedDRA: Chills, Dry throat — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Last week i suddenly had this dry throat, but sore. It felt like I had a lump or something in the right side. I had chills, no fever and coughing a lot, but dry. I kept gargling with salt and warm water. It took a week to go away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
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2021-09-04
Survey response — 6 months, dose 1MedDRA: Headache, Office visit, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Off and on i would keep getting a sore throat. But it was always the right side only. It felt like something was there. I finally saw my EMT, he saw nothing. I would gargle warm water and salt. The headaches have really slowed down. Very few. · Healthcare visit (other): My EMT Doctor.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-04
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-10-26
Dose 2 — Janssen/Johnson & Johnson
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2021-10-31
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Headache, Nausea, Neck pain, Pain, Photopsia, Pyrexia, Swelling, Tremor — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Day of the 10/26 shot, had 102 temp, severe headache, and neck pain, swelling rt side near clavicle. Followed by nausea, headache, complete body aches, had some flashing in my eyes, closed or open, shaking, very light headed. 10/26 -10/30MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 2MedDRA: Deafness unilateral, Swelling — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still cant hear in left ear, and swelling on rt side near the bone.MedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — day 7, dose 2MedDRA: Deafness unilateral, Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Still deaf in my left ear. And I get feelings i am going to pass out now and then.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
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2021-11-16
Survey response — day 21, dose 2MedDRA: Feeling abnormal, Mitochondrial myopathy — Feeling: Fair · Be unable to work or attend schoolFree text: I was Diagnosed with Mitochondrial Myopathy Disease April 2021. So its hard to say what is making me feel bad.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
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2021-11-30
Survey response — day 35, dose 2MedDRA: Headache, Neck pain, Reaction to previous exposure to any vaccine, Sleep disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: The pain in my neck up to the sides of my head. Mostly at night, get woken up. Not getting better. I believe i had the same thing after my 1st J&J Shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2022-01-25
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2022-04-08
Dose 3 — Moderna
- 2022-04-21
- 2022-04-22
- 2022-05-01
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-26 | Janssen/Johnson & Johnson | No |
| 3 | 2022-04-08 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — day 42, single dose
Symptoms: Last week i suddenly had this dry throat, but sore. It felt like I had a lump or something in the right side. I had chills, no fever and coughing a lot, but dry. I kept gargling with salt and warm water. It took a week to go away.
Release 9 — 6 months, dose 1
Symptoms: Off and on i would keep getting a sore throat. But it was always the right side only. It felt like something was there. I finally saw my EMT, he saw nothing. I would gargle warm water and salt. The headaches have really slowed down. Very few.
Healthcare visit (other): My EMT Doctor.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Day of the 10/26 shot, had 102 temp, severe headache, and neck pain, swelling rt side near clavicle. Followed by nausea, headache, complete body aches, had some flashing in my eyes, closed or open, shaking, very light headed. 10/26 -10/30
Systemic reaction (other): Still cant hear in left ear, and swelling on rt side near the bone.
Release 10 — day 7, dose 2
Systemic reaction (other): Still deaf in my left ear. And I get feelings i am going to pass out now and then.
Release 10 — day 21, dose 2
Symptoms: I was Diagnosed with Mitochondrial Myopathy Disease April 2021. So its hard to say what is making me feel bad.
Release 10 — day 35, dose 2
Symptoms: The pain in my neck up to the sides of my head. Mostly at night, get woken up. Not getting better. I believe i had the same thing after my 1st J&J Shot.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Dry throat | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Mitochondrial myopathy | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SRO | Deafness unilateral | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Photopsia | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tremor | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release