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YNZ-70797-25423

2 vaccinations 3 coded responses 15 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
210 / MD
Registered
2021-05-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-30
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-05-24
    Registered in v-safe
  3. 2021-06-29
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-09-30
    Survey response — 6 months, dose 1
    MedDRA: Gallbladder disorder — 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 consultation, Emergency room or emergency department visit, Hospitalization
    Free text: Gallbladder issue. Not covid related.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-09-30
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  6. 2021-10-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  7. 2021-10-30
    Dose 2 — Moderna
  8. 2021-11-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-11-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-11-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-11-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-11-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-11-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-11-21
    Survey response — day 21, dose 2
    MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Poor
    Free text: Cold. Stuffy nose sore throat
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-11-27
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-12-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-12-13
    Survey response — day 42, dose 2
    MedDRA: Cough — Feeling: Fair
    Free text: Cough.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-05-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-10-31
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Janssen/Johnson & Johnson
22021-10-30Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-30 Successful
2021-10-01
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 9 — 6 months, dose 1

2021-09-30

Symptoms: Gallbladder issue. Not covid related.

Release 10 — day 21, dose 2

2021-11-21

Symptoms: Cold. Stuffy nose sore throat

Release 10 — day 42, dose 2

2021-12-13

Symptoms: Cough.

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDGallbladder disorder · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release