SXG-89979-09662
3 vaccinations
1 coded response
31 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 100 / NY
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-10
Registered in v-safe
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-11
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-04-14
-
2021-04-19
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitAdult check-in
-
2021-04-19
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-23
Survey response — day 14, dose 1MedDRA: Cardiac murmur, Electrocardiogram abnormal, Pain in extremity, Thrombosis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Heart murmur and irregular ekg noted after vaccine. Not sure if related. Was also treated for potential blood clot after leg pain. Heart issues noticed then. No prior indications.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-30
- 2021-05-06
- 2021-05-07
-
2021-05-07
Call successfulCompleted over the phone
- 2021-05-14
- 2021-07-11
- 2021-10-10
-
2021-12-05
Dose 2 — Moderna
-
2021-12-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-04
- 2022-01-09
- 2022-01-16
- 2022-03-06
- 2022-06-05
-
2022-11-12
Dose 3 — Moderna
-
2022-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2023-02-13
- 2023-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-05 | Moderna | No |
| 3 | 2022-11-12 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 7 — day 14, dose 1
Symptoms: Heart murmur and irregular ekg noted after vaccine. Not sure if related. Was also treated for potential blood clot after leg pain. Heart issues noticed then. No prior indications.
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 | Cardiac murmur | ✓ | ✓ | ✓ |
| SD | Electrocardiogram abnormal | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release