2FF-30541-27254
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 773 / TX
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Body temperature increased, Headache, Self-medication — Feeling: GoodFree text: I did have a slightly elevated temperature yesterday (after my check in): 99.8 and my headache returned. I was able to treat it with ibuprofen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Survey response — day 28, single doseMedDRA: Erythema, Flushing, Pain in extremity, Skin warm — Feeling: GoodFree text: I had an odd flushing of my face and arms and legs last night. My face and arms were red and hot to the touch. My arms and legs felt sore. It went away overnight. Not sure if it's in anyway related to anything else. No fever or other symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-16
- 2021-06-05
- 2021-09-03
-
2021-10-22
Dose 2 — ModernaCo-administered: Flu
-
2021-10-30
Survey response — day 7, dose 2MedDRA: Chest pain — Feeling: FairFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
-
2021-11-12
Survey response — day 21, dose 2MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work or attend schoolFree text: Stomach virus but with known sourceMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 42, dose 2MedDRA: Dairy intolerance — Feeling: GoodFree text: Stomach sensitivity to dairyMedDRA releases: 2024-11 · check-in free text available
-
2022-01-21
Survey response — 3 months, dose 2MedDRA: COVID-19 — Feeling: Fair · 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: Caught covidMedDRA releases: 2024-11 · check-in free text available
-
2022-01-21
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)
-
2022-01-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-22 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I did have a slightly elevated temperature yesterday (after my check in): 99.8 and my headache returned. I was able to treat it with ibuprofen.
Release 6 — day 28, single dose
Symptoms: I had an odd flushing of my face and arms and legs last night. My face and arms were red and hot to the touch. My arms and legs felt sore. It went away overnight. Not sure if it's in anyway related to anything else. No fever or other symptoms
Release 10 — day 7, dose 2
Systemic reaction (other): Chest pain
Release 10 — day 21, dose 2
Symptoms: Stomach virus but with known source
Release 10 — day 42, dose 2
Symptoms: Stomach sensitivity to dairy
Release 11 — 3 months, dose 2
Symptoms: Caught 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 | Dairy intolerance | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release