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
-
2021-12-06
Dose 1 — Janssen/Johnson & Johnson
-
2022-11-15
Dose 2 — Moderna
-
2022-11-16
Registered in v-safe
-
2022-11-16
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
-
2022-11-17
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Acute almost severe Chest pain hard to breatheMedDRA releases: 2024-11 · check-in free text available
- 2022-11-19
- 2022-11-20
- 2022-12-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-06 | Janssen/Johnson & Johnson | No |
| 2 | 2022-11-15 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Chest pain | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release