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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

  1. 2021-04-09
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-04-27
    Registered in v-safe
  3. 2021-04-27
    Survey response — day 14, dose 1
    MedDRA: Skin discolouration — Feeling: Good
    Free 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
  4. 2021-05-01
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  5. 2021-05-07
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  6. 2021-05-15
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  7. 2021-05-22
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  8. 2021-10-08
    Survey response — 6 months, dose 1
    MedDRA: 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 consultation
    Free 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
  9. 2021-10-08
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  10. 2021-10-13
  11. 2021-10-28
    Dose 2 — Moderna
  12. 2021-10-28
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  13. 2021-10-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches
    Adult check-in
  14. 2021-11-08
    Health check-in — day 7, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-11-18
    Survey response — day 21, dose 2
    MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  16. 2021-11-27
    Survey response — day 28, dose 2
    MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Injection site has random intense pain now ... Like psyatica.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-27
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  18. 2022-05-04
    Survey response — 6 months, dose 2
    MedDRA: COVID-19 — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Caught covid
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-05-04
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  20. 2022-05-04
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Janssen/Johnson & Johnson
22021-10-28Moderna No

Call center

ReportedOutcomeVAERS-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

2021-04-27

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

2021-10-08

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

2021-11-18

Symptoms: Arm continues to hurt at injection site ... Maybe even worse lately. Like sciatica from a nerve?

Release 10 — day 28, dose 2

2021-11-27

Symptoms: Injection site has random intense pain now ... Like psyatica.

Release 11 — 6 months, dose 2

2022-05-04

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDInjection site pain · · ✓
SDPre-existing disease · · ✓
SDPsoriatic arthropathy · · ✓
SDSkin discolouration ✓ ✓ ✓

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