YE5-33691-92988
4 vaccinations
6 coded responses
40 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 021 / MA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- Other
- 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
Survey response — days 1–6 daily, dose 1MedDRA: Nasal discomfort, Upper-airway cough syndrome — Feeling: Good · Site: PainFree text: Feel my nasal passages, too much drainage, is a symptom.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
-
2021-04-10
Survey response — day 35, single doseMedDRA: Diabetes mellitus, Glycosylated haemoglobin increased, Pre-existing disease, Type 2 diabetes mellitus — Feeling: FairFree text: A1C for my type 2 diabetes is high at 9. On 2 new diabetes medications along with my metformin. Getting some side effects from that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
-
2021-06-05
Survey response — 3 months, dose 1MedDRA: COVID-19, SARS-CoV-2 test negative — Feeling: Good · Be unable to workFree text: Cold virus in April lasted 5 days. During April one of my brothers came down with covid after he got vaccinated with J&J. we must have gotten exposed at same time because i tested positive. My other brother who brought cold virus home tested negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-04
-
2021-11-05
Dose 2 — Pfizer-BioNTech
-
2021-11-05
Survey response — day 0, dose 2MedDRA: Dizziness, Feeling hot — Feeling: GoodFree text: Felt dizzy and warm for about a minuteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-07
-
2021-11-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
-
2022-03-05
Dose 3 — Moderna
- 2022-04-05
-
2022-04-09
Survey response — day 35, dose 3MedDRA: Back pain — Feeling: FairFree text: Lower back pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
- 2022-06-04
- 2022-09-03
-
2022-10-01
Dose 4 — Moderna
- 2022-10-12
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-12-31
-
2023-04-02
Survey response — 6 months, dose 4MedDRA: Office visit, Spinal stenosis — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-02
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-05 | Pfizer-BioNTech | No |
| 3 | 2022-03-05 | Moderna | No |
| 4 | 2022-10-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-02 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Feel my nasal passages, too much drainage, is a symptom.
Release 7 — day 35, single dose
Symptoms: A1C for my type 2 diabetes is high at 9. On 2 new diabetes medications along with my metformin. Getting some side effects from that.
Release 8 — 3 months, dose 1
Symptoms: Cold virus in April lasted 5 days. During April one of my brothers came down with covid after he got vaccinated with J&J. we must have gotten exposed at same time because i tested positive. My other brother who brought cold virus home tested negative cut off by CDC
Release 10 — day 0, dose 2
Systemic reaction (other): Felt dizzy and warm for about a minute
Release 11 — day 35, dose 3
Symptoms: Lower back pain.
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 | Office visit | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Diabetes mellitus | ✓ | ✓ | ✓ |
| SD | Glycosylated haemoglobin increased | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Spinal stenosis | · | · | ✓ |
| SD | Type 2 diabetes mellitus | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Nasal discomfort | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release