Z44-10683-80181
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 991 / WA
- Registered
- 2021-04-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-09
Dose 1 — Janssen/Johnson & Johnson
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2021-04-27
Registered in v-safe
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2021-04-27
Survey response — day 14, dose 1MedDRA: Skin discolouration — Feeling: GoodFree text: On the 25th of April I noticed my palms of my hands turning orange in the cracks. It appears slightly worse today. I have had no side effects from the vaccine prior, but this is very odd.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-07
- 2021-05-15
- 2021-05-22
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2021-10-08
Survey response — 6 months, dose 1MedDRA: Pre-existing disease, Psoriatic arthropathy — Feeling: Poor · 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: About 45 days after the shot I started the worst flair up of psoriatic arthritis I have ever had. It is still happening.MedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-13
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2021-10-28
Dose 2 — Moderna
- 2021-10-28
- 2021-10-29
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2021-11-08
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-11-18
Survey response — day 21, dose 2MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Arm continues to hurt at injection site ... Maybe even worse lately. Like sciatica from a nerve?MedDRA releases: 2024-11 · check-in free text available
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2021-11-27
Survey response — day 28, dose 2MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Injection site has random intense pain now ... Like psyatica.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-27
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2022-05-04
Survey response — 6 months, dose 2MedDRA: COVID-19 — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Caught covidMedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-05-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-08 | Successful | Does not wish to fill out VAERS report |
| 2022-05-04 | Successful 2022-05-04 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 8 — day 14, dose 1
Symptoms: On the 25th of April I noticed my palms of my hands turning orange in the cracks. It appears slightly worse today. I have had no side effects from the vaccine prior, but this is very odd.
Release 10 — 6 months, dose 1
Symptoms: About 45 days after the shot I started the worst flair up of psoriatic arthritis I have ever had. It is still happening.
Release 10 — day 21, dose 2
Symptoms: Arm continues to hurt at injection site ... Maybe even worse lately. Like sciatica from a nerve?
Release 10 — day 28, dose 2
Symptoms: Injection site has random intense pain now ... Like psyatica.
Release 11 — 6 months, dose 2
Symptoms: Caught covid
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 | COVID-19 | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Psoriatic arthropathy | · | · | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release