Y5H-19429-75513
4 vaccinations
5 coded responses
50 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 200 / DC
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-03-08
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Mood altered — Feeling: Good · Site: PainFree text: Very volatile mood for the last few days, but cant tell if thats vaccine-related or just pandemic normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Now that its starting to lift, I think the vaccine did give me volatile emotions for the last few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-04
-
2021-10-29
Dose 2 — Moderna
-
2021-10-31
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Only pain at injection site since the day of vaccine, and steadily decreasing.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-04-29
-
2022-05-17
Dose 3 — Pfizer-BioNTech
-
2022-05-17
Survey response — day 0, dose 3MedDRA: Eye pruritus, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Itchy eyesprobably allergiesMedDRA releases: 2024-11 · check-in free text available
-
2022-05-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
-
2022-05-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2022-05-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2022-05-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2022-05-22
- 2022-05-23
- 2022-05-24
-
2022-05-31
Survey response — day 14, dose 3MedDRA: Adverse drug reaction, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: A sinus infection for which I was prescribed antibiotics, which are working but gave me a yeast infection.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-31
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-06-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-08-16
-
2022-09-13
Dose 4 — Pfizer-BioNTech
- 2022-09-21
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-29 | Moderna | No |
| 3 | 2022-05-17 | Pfizer-BioNTech | No |
| 4 | 2022-09-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-31 | Successful 2022-06-01 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Very volatile mood for the last few days, but cant tell if thats vaccine-related or just pandemic normal.
Systemic reaction (other): Now that its starting to lift, I think the vaccine did give me volatile emotions for the last few days.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Only pain at injection site since the day of vaccine, and steadily decreasing.
Release 11 — day 0, dose 3
Systemic reaction (other): Itchy eyesprobably allergies
Release 11 — day 14, dose 3
Symptoms: A sinus infection for which I was prescribed antibiotics, which are working but gave me a yeast infection.
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 | Adverse drug reaction | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Eye pruritus | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Mood altered | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release