5YM-20933-95177
4 vaccinations
19 coded responses
51 check-ins
17 free-text entries
10 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 480 / MI
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
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2021-03-11
Dose 1 — Janssen/Johnson & Johnson
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2021-03-11
Survey response — day 0, dose 1MedDRA: Immediate post-injection reaction, Throat tightness — Feeling: GoodFree text: Throat tightness about 45 minutes after the shot. Felt like I had swallowed a walnutMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-18
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2021-03-25
Survey response — day 14, dose 1MedDRA: Chills, Headache, Paranasal sinus discomfort — Feeling: GoodFree text: Chills, but no fever. Sinus pressure and headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 21, single doseMedDRA: Arthritis, Autoimmune disorder, Muscular weakness, Myalgia, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: More muscle aches and muscle weakness and arthritis. Seems to have flared up my autoimmune illness. · Healthcare visit (other): In person check up with my dr.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Report sent to call center — day 21, single doseGet care from a doctor or other healthcare professional1 call case(s)
- 2021-04-06
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2021-04-08
Survey response — day 28, single doseMedDRA: Arthralgia, Myalgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joint pains and muscle pain... Could be related to a new medicine (Fasenra) injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
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2021-04-16
Survey response — day 35, single doseMedDRA: Arthralgia, Eye pain, Headache, Myalgia, Ocular discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Flare up of muscle and joint pains, eye pain and pressure ( had optic neuritis in the past) and headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-06-10
- 2021-09-11
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2021-10-25
Dose 2 — Moderna
- 2021-10-25
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2021-10-26
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Itching all over last eveningMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Chills, Headache, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: 101 F fever late yesterdayMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Nausea, Diarrhea, Abdominal painAdult check-in
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2021-10-29
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
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2021-11-10
Survey response — day 14, dose 2MedDRA: Condition aggravated, Muscular weakness, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Increase in muscle weakness and flare of interstitial cystitis symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
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2021-11-22
Survey response — day 28, dose 2MedDRA: Dyspnoea exertional, Office visit, Pulmonary congestion, Sinus congestion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus and lung congestion my doctor put me on steroids and antibiotic. Was experiencing shortness of breath with climbing stairs · Healthcare visit (other): AllergistMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-23
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2021-12-01
Survey response — day 35, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Flare up of autoimmune diseaseMedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-03
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2021-12-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2021-12-03
Call successfulCompleted over the phone
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2021-12-03
Call successfulCompleted over the phone
- 2021-12-06
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2022-01-24
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Office visit, Pulmonary function test decreased — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Decreased lung function and am currently taking Armonair Digihaler to help with shortness of breath. · Healthcare visit (other): AllergistMedDRA releases: 2024-11 · check-in free text available
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2022-01-24
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-26
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2022-04-25
Survey response — 6 months, dose 2MedDRA: Ear pain, Eustachian tube dysfunction — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Eustation tube dysfunction/ ear painMedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-26
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2022-06-09
Dose 3 — Moderna
- 2022-06-14
- 2022-06-15
- 2022-06-16
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2022-06-25
Survey response — day 14, dose 3MedDRA: C-reactive protein increased, Office visit, Red blood cell sedimentation rate increased — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increased levels of sed rate and c reactive protein · Healthcare visit (other): RheumatologistMedDRA releases: 2024-11 · check-in free text available
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2022-06-25
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-27
- 2022-06-27
- 2022-06-27
- 2022-06-27
- 2022-06-27
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2022-06-30
Survey response — day 21, dose 3MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Urinary tract infectionMedDRA releases: 2024-11 · check-in free text available
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2022-06-30
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-01
- 2022-07-01
- 2022-07-01
- 2022-07-01
- 2022-07-01
- 2022-07-07
- 2022-07-14
- 2022-07-21
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2022-09-08
Survey response — 3 months, dose 3MedDRA: Eustachian tube dysfunction, Office visit, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus infection and eustation tube dysfunction · Healthcare visit (other): AllergistMedDRA releases: 2024-11 · check-in free text available
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2022-09-08
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-09
- 2022-09-09
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2022-12-08
Survey response — 6 months, dose 3MedDRA: Asthma, COVID-19, Office visit, Respiratory disorder — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Got Covid last week of October 2022 have more problems with breathing and asthma · Healthcare visit (other): AllergistMedDRA releases: 2024-11 · check-in free text available
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2022-12-08
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-09
- 2022-12-09
- 2022-12-09
- 2022-12-09
- 2022-12-09
- 2022-12-09
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2023-01-25
Dose 4 — Moderna
- 2023-01-25
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2023-01-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2023-01-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Nausea, Abdominal painAdult check-in
- 2023-01-28
- 2023-01-29
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2023-01-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2023-01-31
- 2023-02-01
- 2023-02-08
- 2023-02-15
- 2023-02-22
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2023-03-01
Survey response — day 35, dose 4MedDRA: Chest pain, Sinus disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-01
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-03-02
- 2023-03-02
- 2023-03-02
- 2023-03-02
- 2023-03-02
- 2023-03-02
- 2023-03-02
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Moderna | No |
| 3 | 2022-06-09 | Moderna | No |
| 4 | 2023-01-25 | Moderna | No |
Call center
10 call center cases
3 successful · 7 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Throat tightness about 45 minutes after the shot. Felt like I had swallowed a walnut
Release 6 — day 14, dose 1
Symptoms: Chills, but no fever. Sinus pressure and headache
Release 6 — day 21, single dose
Symptoms: More muscle aches and muscle weakness and arthritis. Seems to have flared up my autoimmune illness.
Healthcare visit (other): In person check up with my dr.
Release 7 — day 28, single dose
Symptoms: Joint pains and muscle pain... Could be related to a new medicine (Fasenra) injection
Release 7 — day 35, single dose
Symptoms: Flare up of muscle and joint pains, eye pain and pressure ( had optic neuritis in the past) and headaches.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Itching all over last evening
Systemic reaction (other): 101 F fever late yesterday
Systemic reaction (other): No
Release 10 — day 14, dose 2
Symptoms: Increase in muscle weakness and flare of interstitial cystitis symptoms
Release 10 — day 28, dose 2
Symptoms: Sinus and lung congestion my doctor put me on steroids and antibiotic. Was experiencing shortness of breath with climbing stairs
Healthcare visit (other): Allergist
Release 10 — day 35, dose 2
Symptoms: Flare up of autoimmune disease
Release 11 — 3 months, dose 2
Symptoms: Decreased lung function and am currently taking Armonair Digihaler to help with shortness of breath.
Healthcare visit (other): Allergist
Release 11 — 6 months, dose 2
Symptoms: Eustation tube dysfunction/ ear pain
Release 12 — day 14, dose 3
Symptoms: Increased levels of sed rate and c reactive protein
Healthcare visit (other): Rheumatologist
Release 12 — day 21, dose 3
Symptoms: Urinary tract infection
Release 12 — 3 months, dose 3
Symptoms: Sinus infection and eustation tube dysfunction
Healthcare visit (other): Allergist
Release 12 — 6 months, dose 3
Symptoms: Got Covid last week of October 2022 have more problems with breathing and asthma
Healthcare visit (other): Allergist
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Autoimmune disorder | ✓ | ✓ | ✓ |
| SD | C-reactive protein increased | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Eustachian tube dysfunction | · | · | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Ocular discomfort | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | Pulmonary function test decreased | · | · | ✓ |
| SD | Red blood cell sedimentation rate increased | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release