Y7Y-12135-48558
3 vaccinations
6 coded responses
30 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 410 / KY
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-08
Survey response — day 0, dose 1MedDRA: Arthralgia, Neck pain — Feeling: Fair · Site: PainFree text: Pain in my neck and shoulder on side that I received the injection. Think lymph node may be swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenitis, Musculoskeletal discomfort — Feeling: GoodFree text: All alone Ive had some discomfort in my shoulder and neck on side of my body that I got shot I kind of though it may be inflammation in my lymph nodes. Its just a little discomfort not actual painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Oropharyngeal pain — Feeling: FairFree text: Fatigue and sore throat think might be getting cold?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Sinus disorder, Unevaluable event — Feeling: Fair · HeadacheFree text: Think its my sinus and not related to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — day 7, dose 1MedDRA: Nasopharyngitis — Feeling: GoodFree text: Cold symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-30
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-06-07
- 2021-09-06
-
2021-10-22
Dose 2 — Moderna
- 2021-10-31
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 42, dose 2MedDRA: Asthma, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Asthma flairupMedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-07
- 2022-01-21
-
2022-04-05
Dose 3 — Moderna
- 2022-04-22
- 2022-05-01
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-07-05
- 2022-10-04
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-22 | Moderna | No |
| 3 | 2022-04-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-03 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Pain in my neck and shoulder on side that I received the injection. Think lymph node may be swollen
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): All alone Ive had some discomfort in my shoulder and neck on side of my body that I got shot I kind of though it may be inflammation in my lymph nodes. Its just a little discomfort not actual pain
Systemic reaction (other): Fatigue and sore throat think might be getting cold?
Systemic reaction (other): Think its my sinus and not related to vaccine
Release 5 — day 7, dose 1
Systemic reaction (other): Cold symptoms
Release 10 — day 42, dose 2
Symptoms: Asthma flairup
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 | Asthma | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Lymphadenitis | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ○ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release