8X4-65094-23309
4 vaccinations
4 coded responses
50 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 020 / MA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Registered in v-safe
-
2021-04-05
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-27
- 2021-05-03
- 2021-05-12
- 2021-05-17
- 2021-07-05
-
2021-11-04
Dose 2 — Pfizer-BioNTech
-
2021-11-04
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: PainFree text: Dizziness mildMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-07
-
2021-11-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-11-11
Survey response — day 7, dose 2MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · HeadacheFree text: Congestion from a coldMedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-25
- 2021-12-04
- 2021-12-10
- 2021-12-16
- 2022-05-05
-
2022-05-26
Dose 3 — Moderna
- 2022-05-26
- 2022-05-27
-
2022-05-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Fatigue or tirednessAdult check-in
-
2022-05-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-30
- 2022-05-31
- 2022-06-09
- 2022-06-18
-
2022-06-25
Survey response — day 28, dose 3MedDRA: Headache, Respiratory tract congestion — Feeling: GoodFree text: Headache, congestion for 2 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
- 2022-07-07
- 2022-08-25
-
2022-09-23
Dose 4 — ModernaCo-administered: Flu
- 2022-09-23
-
2022-09-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-09-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-26
-
2022-09-27
Survey response — days 1–6 daily, dose 4MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Barking coughMedDRA releases: 2024-11 · check-in free text available
-
2022-09-27
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-09-28
Call successfulDoes not wish to fill out VAERS report
- 2022-10-02
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-30
- 2022-11-04
- 2022-12-23
- 2023-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-04 | Pfizer-BioNTech | No |
| 3 | 2022-05-26 | Moderna | No |
| 4 | 2022-09-23 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 10 — day 0, dose 2
Systemic reaction (other): Dizziness mild
Release 10 — day 7, dose 2
Systemic reaction (other): Congestion from a cold
Release 12 — day 28, dose 3
Symptoms: Headache, congestion for 2 days
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Barking cough
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 | Headache | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release