ZSY-32758-78128
2 vaccinations
1 coded response
14 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 833 / ID
- Registered
- 2022-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Janssen/Johnson & Johnson
-
2021-12-31
Dose 2 — Moderna
-
2022-01-02
Registered in v-safe
-
2022-01-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-01-03
- 2022-01-04
- 2022-01-05
- 2022-01-06
- 2022-01-09
- 2022-01-14
- 2022-01-21
- 2022-01-30
- 2022-02-04
- 2022-02-11
- 2022-04-01
- 2022-07-01
-
2022-12-31
Survey response — 12 months, dose 2MedDRA: COVID-19, Pulmonary embolism — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Micro Pulmonary embolisms. And Covid.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-31
Report sent to call center — 12 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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2023-01-03
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Janssen/Johnson & Johnson | No |
| 2 | 2021-12-31 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-31 | Successful 2023-01-03 |
Participant prefers to complete VAERS report online |
Free text
Release 12 — 12 months, dose 2
Symptoms: Micro Pulmonary embolisms. And Covid.
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 | COVID-19 | · | · | ✓ |
| SD | Pulmonary embolism | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release