Z4T-14028-26512
3 vaccinations
9 coded responses
44 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 024 / MA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-08
Registered in v-safe
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2021-04-08
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: I did go for a walk which probably didn't help.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: Sore throat, like I swallowed something wrong.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia, Premature menarche — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Early period which is adding to the muscle and joint pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-15
Health check-in — day 7, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-08
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2021-10-07
Survey response — 6 months, dose 1MedDRA: Heart rate abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Potentially elevated and/or erratic heart rate. I'm being monitored this week.MedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-01
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2021-11-02
Dose 2 — Moderna
- 2021-11-02
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2021-11-03
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth, Joint noise — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessFree text: Injection site is warmer than surrounding skin. Joints are popping more than usual..MedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth, Joint noise — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Popping joints. Heat around injection site.MedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-06
Survey response — days 1–6 daily, dose 2MedDRA: Hyperacusis — Feeling: Fair · Headache, Fatigue or tirednessFree text: Noise sensitivity.MedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-11-09
Survey response — day 7, dose 2MedDRA: Headache — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Headache has been persistent, returns by lunch time most days.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-01
- 2022-05-03
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2022-09-22
Dose 3 — ModernaCo-administered: Flu
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2022-09-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2022-09-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-09-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-09-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-09-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
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2022-09-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-09-29
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2022-10-04
Call successfulDoes not wish to fill out VAERS report
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-05
- 2022-12-24
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2023-03-24
Survey response — 6 months, dose 3MedDRA: Exostosis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-24
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-03-27
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-02 | Moderna | No |
| 3 | 2022-09-22 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-07 | Successful 2022-10-04 |
Does not wish to fill out VAERS report |
| 2023-03-24 | Successful 2023-03-27 |
Completed over the phone |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I did go for a walk which probably didn't help.
Systemic reaction (other): Sore throat, like I swallowed something wrong.
Systemic reaction (other): Early period which is adding to the muscle and joint pain.
Release 10 — 6 months, dose 1
Symptoms: Potentially elevated and/or erratic heart rate. I'm being monitored this week.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Injection site is warmer than surrounding skin. Joints are popping more than usual..
Systemic reaction (other): Popping joints. Heat around injection site.
Systemic reaction (other): Noise sensitivity.
Release 10 — day 7, dose 2
Systemic reaction (other): Headache has been persistent, returns by lunch time most days.
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 | Exostosis | · | · | ✓ |
| SD | Heart rate abnormal | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hyperacusis | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Joint noise | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Premature menarche | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release