YZT-65152-77959
2 vaccinations
5 coded responses
27 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 631 / MO
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-17
Survey response — day 35, single doseMedDRA: Facial pain, Glossodynia, Medical counselling, Sinusitis, Toothache — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Bad sinus infection. Facial pain on the entire left side including teeth and tongue. · Healthcare visit (other): MRIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Report sent to call center — day 35, single doseBe unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-24
- 2021-05-25
-
2021-06-13
Survey response — 3 months, dose 1MedDRA: Asthma, Cholesterol granuloma, Facial pain, Magnetic resonance imaging abnormal, Pre-existing disease, Sinus disorder, Sinusitis — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visitFree text: Sinuses won't fully drain. Sinus infection with severe facial pain started in early April. Resulted in 2 mo asthma flare and is no longer under control. Confirmed surgery needed. MRI also showed a cholesterol granuloma cyst.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-13
Report sent to call center — 3 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-15
- 2021-09-14
-
2021-10-30
Dose 2 — Moderna
- 2021-11-01
- 2021-11-03
- 2021-11-05
- 2021-11-07
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
-
2022-01-30
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: FairFree text: Couple of headachesMedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Survey response — 6 months, dose 2MedDRA: Chest pain, Cough, Ear pain, Fatigue, Myalgia, Sinus congestion, Throat irritation — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Scratchy throat. Cough. Sinus congestion. Ear ache. Muscle aches. Mild chest pain. Tiredness.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Survey response — 12 months, dose 2MedDRA: Cough, Nasal congestion, Office visit, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Nasal and chest congestion. Coughing. · Healthcare visit (other): Primary careMedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-11-02
Call successfulNot applicable - Accidental Reporting
-
2022-11-02
Call successfulNot applicable - Accidental Reporting
-
2022-11-02
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-17 | Successful 2022-11-02 |
Not applicable - Accidental Reporting |
| 2021-06-13 | Successful 2022-11-02 |
Not applicable - Accidental Reporting |
| 2022-11-01 | Successful 2022-11-02 |
Not applicable - Accidental Reporting |
Free text
Release 7 — day 35, single dose
Symptoms: Bad sinus infection. Facial pain on the entire left side including teeth and tongue.
Healthcare visit (other): MRI
Release 9 — 3 months, dose 1
Symptoms: Sinuses won't fully drain. Sinus infection with severe facial pain started in early April. Resulted in 2 mo asthma flare and is no longer under control. Confirmed surgery needed. MRI also showed a cholesterol granuloma cyst.
Release 11 — 3 months, dose 2
Symptoms: Couple of headaches
Release 11 — 6 months, dose 2
Symptoms: Scratchy throat. Cough. Sinus congestion. Ear ache. Muscle aches. Mild chest pain. Tiredness.
Release 12 — 12 months, dose 2
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cholesterol granuloma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Facial pain | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Glossodynia | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Magnetic resonance imaging abnormal | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release