XX6-10485-52097
4 vaccinations
11 coded responses
17 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 013 / MA
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-11
Registered in v-safe
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2021-04-11
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-11
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hypoaesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hypoaesthesia, Hypoaesthesia oral — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hypoaesthesia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-18
Survey response — 7 day, dose 1MedDRA: Asthenia, Dizziness — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-25
Survey response — 14 day, dose 1MedDRA: Arthralgia, Headache, Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-05-24
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2021-07-11
Survey response — 3 month, dose 1MedDRA: Impaired healing — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-11-26
Dose 2 — Pfizer-BioNTech
- 2022-04-11
-
2022-06-21
Dose 3 — Pfizer-BioNTech
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2022-10-28
Dose 4 — Moderna
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2022-11-29
Survey response — 28 day, dose 4MedDRA: Diabetes mellitus, Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11 · check-in answers available
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2022-11-29
Report sent to call center — 28 day, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-11-30
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2022-12-09
Survey response — 42 day, dose 4MedDRA: Cough, Interchange of vaccine products, Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
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2022-12-09
Report sent to call center — 42 day, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-13
- 2022-12-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-26 | Pfizer-BioNTech | No |
| 3 | 2022-06-21 | Pfizer-BioNTech | No |
| 4 | 2022-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-29 | Unsuccessful | |
| 2022-12-09 | Unsuccessful |
Free text
Release 7
Systemic reaction (other): Dizziness
Systemic reaction (other): Still dizzy
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness and numbness lower left side of face
Systemic reaction (other): Dizziness and numbness on lower left jaw lip
Systemic reaction (other): Dizziness and numbing feeling in left side of face
Systemic reaction (other): Dizziness and body weakness
Symptoms: Joint pain has worsened. Still experiencing numbness in left side of face all the way up to the eye. Headaches move to different spots. I'll have headache in temple, then I'll have one lower back head at spine, then it will be between eyes
Release 9
Symptoms: Cuts are not healing.
Release 12
Symptoms: Shoulder and right hand both needed surgery. Left hand needs surgery. Diagnosed diabetic.
Healthcare visit (other): Office visits
Symptoms: I have very harsh cough. Gets worse at night. I still have numbers in my face from my first shot. I got the J & J for my first shot, Pfizer for second and third shot and Modena for my last shot.
Healthcare visit (other): My PCP's office
Free-text releases are not linked to a specific 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 | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Impaired healing | ✓ | ✓ | ✓ |
| SD | Interchange of vaccine products | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release