Y8U-33128-90225
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 805 / CO
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-30
Health check-in — day 0, dose 1Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
-
2021-04-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-06
-
2021-04-13
Survey response — day 14, dose 1MedDRA: Lymph node pain, Lymphadenopathy, Neck pain — Feeling: GoodFree text: I have persistent and painful swollen lymph nodes near my left collarbone (my shot was in my left arm). I also have had a dull pain along the left side of my neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
- 2021-09-28
-
2021-10-25
Dose 2 — ModernaCo-administered: Flu
- 2021-10-29
- 2021-10-31
-
2021-11-01
Survey response — day 7, dose 2MedDRA: Chest pain, Costochondritis, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Chest pain. Went to doctor and they said it was costochonditisMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-04
Call successfulCompleted over the phone
- 2021-11-08
- 2021-11-16
-
2021-11-22
Survey response — day 28, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-06
-
2022-01-24
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Survey response — 6 months, dose 2MedDRA: Flank pain, Office visit, Ovarian cyst — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have been having a lot of pain in my left side and went to the doctor who suspected kidney stones. No kidney stones, but they found a pretty big ovarian cyst.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-01 | Successful 2021-11-04 |
Completed over the phone |
| 2022-04-25 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: I have persistent and painful swollen lymph nodes near my left collarbone (my shot was in my left arm). I also have had a dull pain along the left side of my neck.
Release 10 — day 7, dose 2
Systemic reaction (other): Chest pain. Went to doctor and they said it was costochonditis
Release 10 — day 28, dose 2
Symptoms: Sore throat
Release 11 — 3 months, dose 2
Symptoms: Headaches
Release 11 — 6 months, dose 2
Symptoms: I have been having a lot of pain in my left side and went to the doctor who suspected kidney stones. No kidney stones, but they found a pretty big ovarian cyst.
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 | Flank pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Ovarian cyst | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Costochondritis | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release