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
-
2021-03-09
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-23
Registered in v-safe
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2021-03-23
Survey response — day 14, dose 1MedDRA: Injection site pain — Feeling: GoodFree 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
-
2021-03-30
Survey response — day 21, single doseMedDRA: 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 professionalFree 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
-
2021-03-30
Report sent to call center — day 21, single doseBe unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-05-08
- 2021-06-08
- 2021-09-09
-
2021-12-03
Dose 2 — Pfizer-BioNTech
- 2022-03-09
-
2022-05-27
Dose 3 — Moderna
- 2022-06-01
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2022-06-02
Survey response — days 1–6 daily, dose 3MedDRA: Oral herpes — Feeling: GoodFree 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
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-26
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2022-07-01
Survey response — day 35, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree 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
- 2022-07-08
- 2022-08-26
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2022-11-26
Survey response — 6 months, dose 3MedDRA: COVID-19, Cough, Nasal congestion, Sinus pain — Feeling: Good · Be unable to work or attend schoolFree 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
- 2023-05-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-03 | Pfizer-BioNTech | No |
| 3 | 2022-05-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 14, dose 1
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
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
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
Symptoms: I traveled and caught a cold. I had four negative Covid tests and am fine now.
Release 12 — 6 months, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SRO | Oral herpes | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release