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Z8H-48615-16164

2 vaccinations 1 coded response 5 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
906 / CA
Registered
2022-11-16
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-12-06
    Dose 1 — Janssen/Johnson & Johnson
  2. 2022-11-15
    Dose 2 — Moderna
  3. 2022-11-16
    Registered in v-safe
  4. 2022-11-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  5. 2022-11-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Acute almost severe Chest pain hard to breathe
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-11-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  7. 2022-11-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2022-12-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-12-06Janssen/Johnson & Johnson No
22022-11-15Moderna No

Free text

Release 12 — days 1–6 daily, dose 2

2022-11-17

Systemic reaction (other): Acute almost severe Chest pain hard to breathe

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
SROChest pain · · ✓
SRODyspnoea · · ✓

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