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ZLS-54488-17423

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
954 / CA
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-06
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Bit dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-15
    Survey response — day 7, dose 1
    MedDRA: Myalgia — Feeling: Good · Muscle or body aches
    Free text: Just some muscle pain last few days ... mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-03
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  9. 2021-04-10
    Survey response — day 35, single dose
    MedDRA: Tremor — Feeling: Good
    Free text: Hands shaking and some weird nerve thing in my upper thigh
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-05
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-08-31
    Dose 2 — Moderna
  12. 2021-09-04
    Survey response — 6 months, dose 1
    MedDRA: Chest pain, Cough, Musculoskeletal stiffness, Nasal congestion, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Cough, chest hurts, slight burn, stuffy nose, bit stiff. Some Family is Positive and bit Ill. Waiting for test results. Also , got an additional moderna shot when first Family member tested P. I have asthma, & @ thus time feel pain in chest
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-09-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Fever · Headache · Be unable to do your normal daily activities
    Free text: Chest pain, restricted breathing slightly
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-09-07
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  15. 2021-09-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-11-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-08-31
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Janssen/Johnson & Johnson
22021-08-31Moderna No

Free text

Release 5 — day 0, dose 1

2021-03-06

Systemic reaction (other): Dizzy

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Bit dizzy

Release 5 — day 7, dose 1

2021-03-15

Systemic reaction (other): Just some muscle pain last few days ... mild

Release 7 — day 35, single dose

2021-04-10

Symptoms: Hands shaking and some weird nerve thing in my upper thigh

Release 9 — 6 months, dose 1

2021-09-04

Symptoms: Cough, chest hurts, slight burn, stuffy nose, bit stiff. Some Family is Positive and bit Ill. Waiting for test results. Also , got an additional moderna shot when first Family member tested P. I have asthma, & @ thus time feel pain in chest

Release 9 — days 1–6 daily, dose 2

2021-09-04

Systemic reaction (other): Chest pain, restricted breathing slightly

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
SDChest pain ✓ · ✓
SDCough ✓ · ✓
SDMusculoskeletal stiffness ✓ · ✓
SDNasal congestion ✓ · ✓
SDPre-existing disease ✓ · ✓
SDTremor ✓ ✓ ✓
SROChest pain ✓ · ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ · ✓
SROMyalgia ✓ ✓ ✓

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

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