XXM-13482-89028
2 vaccinations
7 coded responses
15 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 492 / MI
- Registered
- 2021-05-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-10
Registered in v-safe
-
2021-05-10
Dose 1 — Janssen/Johnson & Johnson
-
2021-05-10
Survey response — 0 day, dose 1MedDRA: Pain, Skin disorder — Feeling: Fair · Chills, Headache, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-11
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-12
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-13
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal faeces — Feeling: Good · DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-14
- 2021-05-15
-
2021-06-14
Survey response — 35 day, single doseMedDRA: Arthralgia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-08-09
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2021-11-08
Survey response — 6 month, dose 1MedDRA: Lacrimation increased, Ocular hyperaemia — Feeling: Good · 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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2021-11-08
Report sent to call center — 6 month, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-07
Dose 2 — Moderna
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2022-01-07
Survey response — 0 day, dose 2MedDRA: Chills, Immediate post-injection reaction — Feeling: Fair · Site: Pain · HeadacheMedDRA releases: 2024-11 · check-in answers available
-
2022-01-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body achesAdult check-in
- 2022-01-09
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2022-01-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-01-11
- 2022-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-10 | Janssen/Johnson & Johnson | |
| 2 | 2022-01-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-08 | Successful 2021-11-09 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 8
Systemic reaction (other): Odd sensation under my scalp. Periodic mild pain in that area.
Systemic reaction (other): Symptoms eased up in the morning but mildly returned in the afternoon. Mostly Headache.
Systemic reaction (other): Queasy now and then
Systemic reaction (other): Smelly poo
Release 9
Symptoms: I have more joint pain in my knees and feet with prolonged movement. I never had knee pain before. Vaccine related? Who knows.
Release 10
Symptoms: Eye redness and watering. Does well with antibiotic/steroid ointment until I stop applying it. One eye only. Go figure.
Systemic reaction (other): Within 10 minutes of booster I felt a couple of chills. Then it stopped.
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Ocular hyperaemia | · | · | ✓ |
| SRO | Abnormal faeces | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Skin disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release