ZQ3-21624-00584
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 064 / CT
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-12
Registered in v-safe
- 2021-03-12
-
2021-03-13
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-09-05
-
2021-10-25
Dose 2 — Moderna
- 2021-10-31
- 2021-11-02
-
2021-11-08
Survey response — day 14, dose 2MedDRA: Ear congestion, Oropharyngeal pain, Sinus headache — Feeling: FairFree text: Sinus Headache sore throat full ears no feverMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-30
-
2021-12-08
Survey response — day 42, dose 2MedDRA: Cough, Fatigue, Nasal congestion — Feeling: FairFree text: Cough, nasal congestion, exhaustionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Survey response — 3 months, dose 2MedDRA: Chest discomfort, Cough, Fatigue, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Headache, cough, congestion, sore throat, fever, extreme fatigue, chest heavy and tight but no wheezing or crackles.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-25
Survey response — 6 months, dose 2MedDRA: COVID-19, Chest discomfort, Discomfort, Fatigue, Medical counselling, Non-alcoholic steatohepatitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: COVID, NASH, Extreme exhaustion, sensation of someone standing behind me doing the heimlich and not releasing. Tightness in chest. No pain or congestion. Dr said to be patient that it wilk take time to recover, especially with my medical history.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-25 | Successful 2022-01-27 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — day 14, dose 2
Symptoms: Sinus Headache sore throat full ears no fever
Release 10 — day 42, dose 2
Symptoms: Cough, nasal congestion, exhaustion
Release 11 — 3 months, dose 2
Symptoms: Headache, cough, congestion, sore throat, fever, extreme fatigue, chest heavy and tight but no wheezing or crackles.
Release 11 — 6 months, dose 2
Symptoms: COVID, NASH, Extreme exhaustion, sensation of someone standing behind me doing the heimlich and not releasing. Tightness in chest. No pain or congestion. Dr said to be patient that it wilk take time to recover, especially with my medical history. cut off by CDC
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 | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Non-alcoholic steatohepatitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release