YCL-19361-19327
3 vaccinations
4 coded responses
29 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 295 / SC
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-25
Registered in v-safe
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-04-27
Survey response — day 35, single doseMedDRA: Blood pressure abnormal, Dizziness, Headache, Palpitations, Tremor — Feeling: FairFree text: A little Dizzy, shaky, heart palpitations, slight headache in the back of my head. Blood pressure was crazy today. It Probably has nothing to do with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-06-22
- 2021-09-21
-
2021-10-25
Dose 2 — Moderna
- 2021-11-01
- 2021-11-08
- 2021-11-15
-
2021-11-22
Survey response — day 28, dose 2MedDRA: Laryngitis — Feeling: FairFree text: I am coming down with something. Feels like laryngitis.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Survey response — day 35, dose 2MedDRA: Influenza, Medical counselling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had the flu. Feeling better now. The flu vaccine didn't work apparently. · Healthcare visit (other): Family doctor in the parking lotMedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-30
-
2021-12-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2021-12-06
- 2022-01-24
-
2022-04-18
Dose 3 — Moderna
- 2022-04-25
- 2022-05-02
- 2022-05-11
- 2022-05-16
- 2022-05-23
- 2022-05-30
-
2022-07-18
Survey response — 3 months, dose 3MedDRA: Bronchitis, Cough, Malaise, Nasopharyngitis, Office visit, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: 6/29 I started to feel like a cold. I kept getting sicker. Coughing, fever off and on. Did two at home covid test, negative. Went to the doctor they did another covid test, negative. Put me on antibiotics. I assume it was bronchitis like in December. · Healthcare visit (other): Doctors visitMedDRA releases: 2024-11 · check-in free text available
-
2022-07-18
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-19
- 2022-07-19
- 2022-07-20
- 2022-07-20
-
2022-07-20
Call successfulNot applicable - Accidental Reporting
- 2022-10-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Moderna | No |
| 3 | 2022-04-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-29 | Successful 2021-12-01 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-18 | Successful 2022-07-20 |
Not applicable - Accidental Reporting |
Free text
Release 8 — day 35, single dose
Symptoms: A little Dizzy, shaky, heart palpitations, slight headache in the back of my head. Blood pressure was crazy today. It Probably has nothing to do with the vaccine.
Release 10 — day 28, dose 2
Symptoms: I am coming down with something. Feels like laryngitis.
Release 10 — day 35, dose 2
Symptoms: I had the flu. Feeling better now. The flu vaccine didn't work apparently.
Healthcare visit (other): Family doctor in the parking lot
Release 12 — 3 months, dose 3
Symptoms: 6/29 I started to feel like a cold. I kept getting sicker. Coughing, fever off and on. Did two at home covid test, negative. Went to the doctor they did another covid test, negative. Put me on antibiotics. I assume it was bronchitis like in December. cut off by CDC
Healthcare visit (other): Doctors visit
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Blood pressure abnormal | ✓ | ✓ | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release