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Y4J-26635-92044

4 vaccinations 8 coded responses 35 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
010 / MA
Registered
2021-10-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-10-25
    Registered in v-safe
  3. 2021-10-25
    Dose 2 — Moderna
  4. 2021-10-25
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-10-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Bruising around injection site, but no aching and no pain when touch.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-10-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-10-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Continue to have bruise around injection area. But no pain to the touch.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-10-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Bruise continues at injection area but no pain or pain to the touch.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-10-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Continuing bruise at injection site but no pain in area or to the touch.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-11-01
    Survey response — day 7, dose 2
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Bruise continues at injection site but no pain and no pain to the touch.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-11-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-11-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-11-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-12-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-01-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-04-19
    Dose 3 — Moderna
  18. 2022-04-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-05-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-05-10
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-05-17
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-05-24
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-06-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-07-20
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-09-19
    Dose 4 — Moderna
  26. 2022-09-19
    Survey response — day 0, dose 4
    MedDRA: Injection site pain — Feeling: Good
    Free text: Slight pain when touch injection site.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-09-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  28. 2022-09-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-09-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  30. 2022-09-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  31. 2022-09-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  32. 2022-09-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-09-26
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-10-03
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-10-10
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-10-17
    Survey response — day 28, dose 4
    MedDRA: Fatigue, Influenza like illness — Feeling: Good
    Free text: Had flu shot 6 days ago and felt fatigued with mild flu-like symptoms for several days.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-10-24
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-11-01
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-12-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  40. 2023-03-20
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Janssen/Johnson & Johnson No
22021-10-25Moderna No
32022-04-19Moderna No
42022-09-19Moderna No

Free text

Release 10 — day 0, dose 2

2021-10-25

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 2

2021-10-26

Systemic reaction (other): Bruising around injection site, but no aching and no pain when touch.

2021-10-28

Systemic reaction (other): Continue to have bruise around injection area. But no pain to the touch.

2021-10-30

Systemic reaction (other): Bruise continues at injection area but no pain or pain to the touch.

2021-10-31

Systemic reaction (other): Continuing bruise at injection site but no pain in area or to the touch.

Release 10 — day 7, dose 2

2021-11-01

Systemic reaction (other): Bruise continues at injection site but no pain and no pain to the touch.

Release 12 — day 0, dose 4

2022-09-19

Systemic reaction (other): Slight pain when touch injection site.

Release 12 — day 28, dose 4

2022-10-17

Symptoms: Had flu shot 6 days ago and felt fatigued with mild flu-like symptoms for several days.

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

FieldPreferred term2021-092023-042024-11
SDFatigue · · ✓
SDInfluenza like illness · · ✓
SROInjection site bruising · · ✓
SROInjection site pain · · ✓
SRONo adverse event · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release