25K-23397-53896
2 vaccinations
3 coded responses
28 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 785 / TX
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-09
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Pyrexia, Tremor — Feeling: Good · Site: Pain, Itching · ChillsFree text: Yesterday aftet checking in, i got chills in my arms and upper chest, shaking unable to stop, lasted about 20 mins then stopped, later in the evening last night around 8, i got chills and a fever of 100.1, when i woke up this morning, symptoms had dissipatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: PainFree text: When i selected pain, it is a ever so slight tighness at injection site, but hardly noticeable, in case you need for evaluationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-04-06
Survey response — day 28, single doseMedDRA: Influenza like illness, Influenza virus test negative, Office visit, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Flu like starting last Wednesdays, doctor suspects typhus, tested for covid twice and flu, all were negative though · Healthcare visit (other): Nurse practitionerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Report sent to call center — day 28, single doseBe unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-13
- 2021-04-21
- 2021-05-21
- 2021-06-10
- 2021-09-07
-
2021-12-09
Dose 2 — Moderna
- 2021-12-09
-
2021-12-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-03-13
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-09 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday aftet checking in, i got chills in my arms and upper chest, shaking unable to stop, lasted about 20 mins then stopped, later in the evening last night around 8, i got chills and a fever of 100.1, when i woke up this morning, symptoms had dissipated
Systemic reaction (other): When i selected pain, it is a ever so slight tighness at injection site, but hardly noticeable, in case you need for evaluation
Release 7 — day 28, single dose
Symptoms: Flu like starting last Wednesdays, doctor suspects typhus, tested for covid twice and flu, all were negative though
Healthcare visit (other): Nurse practitioner
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Influenza virus test negative | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release