Z96-31423-56195
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 953 / CA
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-12
Registered in v-safe
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Unable to concentrate, brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Tinnitus — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: My tinnitus is worse and happened after vaccination. My tinnitus hasnt lessened.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Tinnitus — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, DiarrheaFree text: Dizziness and still noticed my tinnitus is worseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Tinnitus — Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaFree text: Ears are still ringing louder than usual and still having some brain fog.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-19
- 2021-03-27
-
2021-04-02
Survey response — day 21, single doseMedDRA: Balance disorder, Dizziness — Feeling: FairFree text: Dizziness and feeling unsteadyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Survey response — day 28, single doseMedDRA: Balance disorder, Dizziness — Feeling: FairFree text: Still off balance and felling a little dizzy. Feels like I'm moving when I'm sitting still.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-10-28
Dose 2 — Moderna
-
2021-11-01
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Pyrexia — Feeling: GoodFree text: After I got the vaccine on 10/28/2021 I had felt fatigued and tired. 24hrs later I got a low grade fever and chills. Nothing out of the ordinary for the vaccine side effects.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-27
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-28 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Unable to concentrate, brain fog
Systemic reaction (other): My tinnitus is worse and happened after vaccination. My tinnitus hasnt lessened.
Systemic reaction (other): Dizziness and still noticed my tinnitus is worse
Systemic reaction (other): Ears are still ringing louder than usual and still having some brain fog.
Release 6 — day 21, single dose
Symptoms: Dizziness and feeling unsteady
Release 7 — day 28, single dose
Symptoms: Still off balance and felling a little dizzy. Feels like I'm moving when I'm sitting still.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): After I got the vaccine on 10/28/2021 I had felt fatigued and tired. 24hrs later I got a low grade fever and chills. Nothing out of the ordinary for the vaccine side effects.
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 | Balance disorder | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release