YXS-32546-13294
3 vaccinations
10 coded responses
29 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 921 / CA
- Registered
- 2021-11-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-12
Dose 1 — Janssen/Johnson & Johnson
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2021-11-02
Registered in v-safe
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2021-11-02
Dose 2 — Janssen/Johnson & Johnson
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2021-11-02
Survey response — day 0, dose 2MedDRA: Arthralgia, Pain in extremity, Paraesthesia — Feeling: Fair · Joint pains, Muscle or body achesFree text: Left shoulder & hand are a little achy. Had a little tingling in left hand earlier.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Neck pain, Pain in extremity — Feeling: Fair · Muscle or body achesFree text: Shoulder/neck pain above injection site, achiness in hand.MedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Slight ache in muscle from shoulder to neck, above injection site.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-06
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2021-11-07
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Neck pain — Feeling: Good · Muscle or body achesFree text: Shoulder/neck pain above injection site.MedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — day 7, dose 2MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Muscle ache from shoulder to neck above injection site.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
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2022-02-01
Survey response — 3 months, dose 2MedDRA: Diverticulitis, Urinary tract infection — Feeling: Fair · Be unable to work or attend schoolFree text: Diverticulitis & UTIMedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Survey response — 6 months, dose 2MedDRA: Osteoporosis — Feeling: FairFree text: I was diagnosed with osteoporosis in my spine & began taking IBANDRONATE SODIUM 150 MG TAB once a month.MedDRA releases: 2024-11 · check-in free text available
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2022-05-31
Dose 3 — Moderna
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2022-05-31
Survey response — day 0, dose 3MedDRA: Musculoskeletal discomfort — Feeling: Fair · Fatigue or tirednessFree text: A slight discomfort on the left side of my neck, initially after the vaccination, but it has since gone away.MedDRA releases: 2024-11 · check-in free text available
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2022-06-01
Survey response — days 1–6 daily, dose 3MedDRA: Nausea — Feeling: Good · Site: Pain, Redness · Muscle or body achesFree text: Forgot to mention that I had a little nausea off and on yesterday.MedDRA releases: 2024-11 · check-in free text available
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2022-06-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2022-06-03
- 2022-06-04
- 2022-06-05
- 2022-06-07
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2022-06-14
Survey response — day 14, dose 3MedDRA: Asthma, Hypersensitivity, Pre-existing disease — Feeling: FairFree text: Allergies are acting up, have had to use asthma inhaler more often.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-08-30
- 2022-11-29
- 2023-05-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Janssen/Johnson & Johnson | No |
| 2 | 2021-11-02 | Janssen/Johnson & Johnson | No |
| 3 | 2022-05-31 | Moderna | No |
Free text
Release 10 — day 0, dose 2
Systemic reaction (other): Left shoulder & hand are a little achy. Had a little tingling in left hand earlier.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Shoulder/neck pain above injection site, achiness in hand.
Systemic reaction (other): Slight ache in muscle from shoulder to neck, above injection site.
Systemic reaction (other): Shoulder/neck pain above injection site.
Release 10 — day 7, dose 2
Systemic reaction (other): Muscle ache from shoulder to neck above injection site.
Release 11 — 3 months, dose 2
Symptoms: Diverticulitis & UTI
Release 11 — 6 months, dose 2
Symptoms: I was diagnosed with osteoporosis in my spine & began taking IBANDRONATE SODIUM 150 MG TAB once a month.
Release 11 — day 0, dose 3
Systemic reaction (other): A slight discomfort on the left side of my neck, initially after the vaccination, but it has since gone away.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Forgot to mention that I had a little nausea off and on yesterday.
Release 12 — day 14, dose 3
Symptoms: Allergies are acting up, have had to use asthma inhaler more often.
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 | Asthma | · | · | ✓ |
| SD | Diverticulitis | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Osteoporosis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Musculoskeletal discomfort | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release