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ZWD-25378-07733

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
471 / IN
Registered
2021-03-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-03-14
    Registered in v-safe
  3. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Heart rate irregular, Pyrexia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: During the fever I had tightness in my chest and my heart eas beating irregularly. Once the fever broke (after 5 hours) my heart went back to normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-09-12
    Survey response — 6 months, dose 1
    MedDRA: Chest pain, Chills, Computerised tomogram thorax abnormal, Headache, Illness, Lung disorder, Pulmonary fibrosis, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: I failed to mention on my last report that after the fever, chills and headache ceased the first day I got my shot, two days later after my J&J shot I developed chest pains that lasted 4 hours and my lungs felt like I had pneumonia for two days. · Healthcare visit (other): My doctor ordered a lung CT due to concern over the pneumonia feeling in my lungs. It showed scarring "most likely from illness
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-09-12
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-09-15
  7. 2021-10-26
    Dose 2 — Moderna
  8. 2021-11-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-11-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-11-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-11-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-11-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-12-01
    Survey response — day 35, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Severe allergies but not vaccine related.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-01-25
    Survey response — 3 months, dose 2
    MedDRA: COVID-19, Pulmonary pain, Sinus disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I had covid but it was very mild. I had sinus issues for 4 days and my lungs hurt for 13 days but I never had any problems breathing.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-01-25
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  17. 2022-01-27
  18. 2022-01-28
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  19. 2022-04-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Janssen/Johnson & Johnson
22021-10-26Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): During the fever I had tightness in my chest and my heart eas beating irregularly. Once the fever broke (after 5 hours) my heart went back to normal.

Release 9 — 6 months, dose 1

2021-09-12

Symptoms: I failed to mention on my last report that after the fever, chills and headache ceased the first day I got my shot, two days later after my J&J shot I developed chest pains that lasted 4 hours and my lungs felt like I had pneumonia for two days.
Healthcare visit (other): My doctor ordered a lung CT due to concern over the pneumonia feeling in my lungs. It showed scarring "most likely from illness

Release 10 — day 35, dose 2

2021-12-01

Symptoms: Severe allergies but not vaccine related.

Release 11 — 3 months, dose 2

2022-01-25

Symptoms: I had covid but it was very mild. I had sinus issues for 4 days and my lungs hurt for 13 days but I never had any problems breathing.

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
HCVOComputerised tomogram thorax abnormal · · ✓
HCVOIllness · · ✓
HCVOLung disorder · · ✓
HCVOPulmonary fibrosis · · ✓
SDChest pain · · ✓
SDChills · · ✓
SDCOVID-19 · · ✓
SDHeadache · · ✓
SDLung disorder · · ✓
SDPre-existing disease · · ✓
SDPulmonary pain · · ✓
SDPyrexia · · ✓
SDSinus disorder · · ✓
SROChest discomfort ✓ ✓ ✓
SROHeart rate irregular ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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