2QE-57237-13753
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 208 / MD
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-06
Health check-in — day 0, dose 1Feeling: Poor · Site: Pain · Fever · Chills, HeadacheAdult check-in
-
2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-12
- 2021-04-15
- 2021-04-23
- 2021-04-27
- 2021-05-05
- 2021-05-11
- 2021-05-18
- 2021-07-08
- 2021-10-05
-
2021-10-28
Dose 2 — Moderna
-
2021-11-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Pain — Feeling: GoodFree text: Had body aches and pain at injection site for 48 hours after shot (that was a week ago)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Survey response — day 35, dose 2MedDRA: Pneumonia — Feeling: Poor · 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 consultation, Outpatient clinic or urgent care clinic visitFree text: PneumoniaMedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Report sent to call center — day 35, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-07
- 2021-12-08
-
2021-12-08
Callback requested for05:00PM ET
-
2022-04-30
Survey response — 6 months, dose 2MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: Had CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Report sent to call center — 6 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)
- 2022-05-02
-
2022-05-06
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-04 | Successful | Does not wish to fill out VAERS report |
| 2022-04-30 | Successful 2022-05-06 |
Does not wish to fill out VAERS report |
Free text
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Had body aches and pain at injection site for 48 hours after shot (that was a week ago)
Release 10 — day 35, dose 2
Symptoms: Pneumonia
Release 11 — 6 months, dose 2
Symptoms: Had 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 | Pneumonia | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release