YNS-58694-51895
4 vaccinations
4 coded responses
46 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 223 / VA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-08
Registered in v-safe
-
2021-04-08
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-08
Survey response — day 0, dose 1MedDRA: Eructation, Neck pain — Feeling: Good · Site: PainFree text: Two hours post vaccine, I am burping a bit. Haven't eaten. But sense it may be early sign of nausea to come. I did feel some soreness on both sides of neck soon after vaccine. But it has resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
-
2021-07-12
Survey response — 3 months, dose 1MedDRA: Office visit, Pain in extremity, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have had occasional leg and foot pain. Mostly on left side. On or about 6/30/2021, experienced tingling sensation radiating down side of left leg, from just above knee down to ankle then shooting back up front of leg between shin bone. Dissipated · Healthcare visit (other): I saw my health care provider in office. Referred for PTMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-12
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-20
-
2021-07-21
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-09
-
2021-10-29
Dose 2 — Moderna
- 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
- 2022-01-29
-
2022-04-13
Dose 3 — Moderna
- 2022-04-13
-
2022-04-14
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: I had theses symptoms overnight. Recovering todayMedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-27
- 2022-05-05
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-07-15
-
2022-09-23
Dose 4 — Moderna
- 2022-10-14
- 2022-10-18
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-12-25
-
2023-03-24
Survey response — 6 months, dose 4MedDRA: Cough, Fatigue, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-24
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-29 | Moderna | No |
| 3 | 2022-04-13 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-12 | Successful 2021-07-21 |
Participant prefers to complete VAERS report online |
| 2023-03-24 | Unsuccessful |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Two hours post vaccine, I am burping a bit. Haven't eaten. But sense it may be early sign of nausea to come. I did feel some soreness on both sides of neck soon after vaccine. But it has resolved.
Release 9 — 3 months, dose 1
Symptoms: I have had occasional leg and foot pain. Mostly on left side. On or about 6/30/2021, experienced tingling sensation radiating down side of left leg, from just above knee down to ankle then shooting back up front of leg between shin bone. Dissipated cut off by CDC
Healthcare visit (other): I saw my health care provider in office. Referred for PT
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): I had theses symptoms overnight. Recovering today
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Eructation | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release