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
-
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-14
Registered in v-safe
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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
-
2021-09-12
Survey response — 6 months, dose 1MedDRA: 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 visitFree 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 illnessMedDRA releases: 2024-11 · check-in free text available
-
2021-09-12
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-15
-
2021-10-26
Dose 2 — Moderna
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-25
-
2021-12-01
Survey response — day 35, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: Severe allergies but not vaccine related.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
-
2022-01-25
Survey response — 3 months, dose 2MedDRA: COVID-19, Pulmonary pain, Sinus disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree 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
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2022-01-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-27
-
2022-01-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-26 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
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
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
Symptoms: Severe allergies but not vaccine related.
Release 11 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Computerised tomogram thorax abnormal | · | · | ✓ |
| HCVO | Illness | · | · | ✓ |
| HCVO | Lung disorder | · | · | ✓ |
| HCVO | Pulmonary fibrosis | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lung disorder | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pulmonary pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release