5X6-47913-71241
3 vaccinations
4 coded responses
28 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 147 / NY
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-13
Registered in v-safe
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-19
-
2021-03-26
Survey response — day 14, dose 1MedDRA: Cough, Pre-existing disease — Feeling: FairFree text: Some minor coughing which I'm attributing to my usual yearly/seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
-
2021-04-09
Survey response — day 28, single doseMedDRA: Dizziness, Nausea — Feeling: GoodFree text: This morning 04/09/2021 I woke up with some dizziness and minor nausea. That would have been around 6 a.m.. By 9 it abated, and I felt better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
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2021-04-23
Survey response — day 42, single doseMedDRA: Abdominal discomfort, Dizziness, Surgery — Feeling: FairFree text: This morning I experienced some light headedness and some minor stomach distress.November 10th I underwent major surgery. Some of these might be a part of ongoing healing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-13
- 2021-09-10
-
2021-10-23
Dose 2 — ModernaCo-administered: Flu
- 2021-11-01
- 2021-11-06
- 2021-11-13
- 2021-11-21
- 2021-11-27
- 2021-12-04
- 2022-01-22
-
2022-03-31
Dose 3 — Moderna
- 2022-04-23
- 2022-04-28
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2022-05-05
Survey response — day 35, dose 3MedDRA: Abdominal discomfort, Bradycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosis of bradycardia, lower abdominal discomfort.MedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-06
- 2022-05-14
- 2022-06-30
- 2022-09-29
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-23 | Moderna | Flu |
| 3 | 2022-03-31 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 14, dose 1
Symptoms: Some minor coughing which I'm attributing to my usual yearly/seasonal allergies.
Release 7 — day 28, single dose
Symptoms: This morning 04/09/2021 I woke up with some dizziness and minor nausea. That would have been around 6 a.m.. By 9 it abated, and I felt better.
Release 7 — day 42, single dose
Symptoms: This morning I experienced some light headedness and some minor stomach distress.November 10th I underwent major surgery. Some of these might be a part of ongoing healing.
Release 11 — day 35, dose 3
Symptoms: Diagnosis of bradycardia, lower abdominal discomfort.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Bradycardia | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Surgery | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release