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68Y-21333-76221

3 vaccinations 5 coded responses 19 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
941 / CA
Registered
2021-03-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-03-23
    Registered in v-safe
  3. 2021-03-23
    Survey response — day 14, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: A very sore arm at the site of injection. It may be due to the vaccine in part or just a hurt muscle. It came on suddenly and is improving rapidly but it was severe.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-30
    Survey response — day 21, single dose
    MedDRA: Injection site pain, Self-medication, Unevaluable event — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: The arm and shoulder pain has continued. I am pretty sure it is from the chair as it aches exactly where the injection was given. I have a dull ache throughout my deltoid muscle. I finally broke down and took ibuprofen an hour ago. Otherwise I am fin · Healthcare visit (other): I have made an appointment with a physical therapist.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-30
    Report sent to call center — day 21, single dose
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-06
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  7. 2021-04-13
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  8. 2021-04-20
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  9. 2021-05-08
  10. 2021-06-08
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-09-09
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-12-03
    Dose 2 — Pfizer-BioNTech
  13. 2022-03-09
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2022-05-27
    Dose 3 — Moderna
  15. 2022-06-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  16. 2022-06-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oral herpes — Feeling: Good
    Free text: I have a mild cold sore inside my mouth. It's unusual and I think due to the vaccine. I trust it will go away soon.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-06-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  18. 2022-06-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-06-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-06-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-07-01
    Survey response — day 35, dose 3
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities
    Free text: I traveled and caught a cold. I had four negative Covid tests and am fine now.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-07-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-08-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-11-26
    Survey response — 6 months, dose 3
    MedDRA: COVID-19, Cough, Nasal congestion, Sinus pain — Feeling: Good · Be unable to work or attend school
    Free text: I had a cough and stuffy nose. Aching sinuses too. It turned out to be Covid, despite my use of n95 mask.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2023-05-28
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Janssen/Johnson & Johnson
22021-12-03Pfizer-BioNTech No
32022-05-27Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-23

Symptoms: A very sore arm at the site of injection. It may be due to the vaccine in part or just a hurt muscle. It came on suddenly and is improving rapidly but it was severe.

Release 6 — day 21, single dose

2021-03-30

Symptoms: The arm and shoulder pain has continued. I am pretty sure it is from the chair as it aches exactly where the injection was given. I have a dull ache throughout my deltoid muscle. I finally broke down and took ibuprofen an hour ago. Otherwise I am fin cut off by CDC
Healthcare visit (other): I have made an appointment with a physical therapist.

Release 11 — days 1–6 daily, dose 3

2022-06-02

Systemic reaction (other): I have a mild cold sore inside my mouth. It's unusual and I think due to the vaccine. I trust it will go away soon.

Release 12 — day 35, dose 3

2022-07-01

Symptoms: I traveled and caught a cold. I had four negative Covid tests and am fine now.

Release 12 — 6 months, dose 3

2022-11-26

Symptoms: I had a cough and stuffy nose. Aching sinuses too. It turned out to be Covid, despite my use of n95 mask.

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDInjection site pain ✓ ✓ ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSelf-medication ✓ ✓ ✓
SDSinus pain · · ✓
SROOral herpes · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release