YX5-23538-18422
3 vaccinations
6 coded responses
23 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 680 / NE
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-21
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body achesFree text: After a lessening of pain in bicep a return to sharper increased pain on day 4 after shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
-
2021-04-03
Survey response — day 14, dose 1MedDRA: Dizziness, Pyrexia — Feeling: GoodFree text: On day 10 I ran a fever of 99.4 and suffered from lightheadedness for several hours. By the next morning my symptoms had resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-18
- 2021-04-23
- 2021-05-02
- 2021-06-18
- 2021-09-17
-
2022-01-21
Dose 2 — Moderna
-
2022-03-20
Survey response — 12 months, dose 1MedDRA: Ageusia, Anosmia, Cough, Gastrointestinal disorder, Influenza, Malaise, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Unevaluable event — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Gastrointestinal issues. Positive Covid test on Feb. 16. Minimal effects. Minor loss of smell/taste. One bad day of feeling ill. March 7 new illness suspected influenza A, neg. for covid. Still symptomatic with sinus and cough at day14MedDRA releases: 2024-11 · check-in free text available
-
2022-03-20
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-03-22
-
2022-04-22
Survey response — 3 months, dose 2MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Issues with gerd. Scopes were clean.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-26
- 2022-07-24
-
2022-09-10
Dose 3 — Moderna
-
2022-09-22
Survey response — day 7, dose 3MedDRA: Cough, Injection site erythema, Injection site pain, Injection site swelling, Upper respiratory tract irritation — Feeling: Fair · Fatigue or tirednessFree text: When I got the shot, it was an updated booster, the shot site swelled like a wasp sting. It was red, swollen and painful for 3-4 days. Today I have a cough and irritation in my upper respiratory track.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-24
Survey response — day 14, dose 3MedDRA: Cough, Dysphonia — Feeling: FairFree text: Cough and raspy voiceMedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-12-10
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Janssen/Johnson & Johnson | |
| 2 | 2022-01-21 | Moderna | No |
| 3 | 2022-09-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-20 | Unsuccessful | |
| 2022-04-22 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): After a lessening of pain in bicep a return to sharper increased pain on day 4 after shot.
Release 6 — day 14, dose 1
Symptoms: On day 10 I ran a fever of 99.4 and suffered from lightheadedness for several hours. By the next morning my symptoms had resolved.
Release 11 — 12 months, dose 1
Symptoms: Gastrointestinal issues. Positive Covid test on Feb. 16. Minimal effects. Minor loss of smell/taste. One bad day of feeling ill. March 7 new illness suspected influenza A, neg. for covid. Still symptomatic with sinus and cough at day14
Release 11 — 3 months, dose 2
Symptoms: Issues with gerd. Scopes were clean.
Release 12 — day 7, dose 3
Systemic reaction (other): When I got the shot, it was an updated booster, the shot site swelled like a wasp sting. It was red, swollen and painful for 3-4 days. Today I have a cough and irritation in my upper respiratory track.
Release 12 — day 14, dose 3
Symptoms: Cough and raspy voice
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Upper respiratory tract irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release