2Y5-51570-81925
2 vaccinations
2 coded responses
31 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 054 / VT
- 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
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Heart rate increased — Feeling: GoodFree text: Not today but yesterday I had a small headache and felt tired about 5 hours after my shot. Also my heart rate went from high 50s to mid 80s. This lasted for about 30 minutes and after that I was normal again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-06
- 2021-10-05
-
2021-11-03
Dose 2 — Moderna
- 2021-11-03
-
2021-11-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
-
2022-02-02
Survey response — 3 months, dose 2MedDRA: Fatigue, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: Tested positive for Covid on 1/21. I had a couple days of very mild cold-like symptoms. I felt run down and had a bit of a runny nose, but no fever, and no loss of taste or smell. Did not test negative on an antigen test until 2/1.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-03 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Not today but yesterday I had a small headache and felt tired about 5 hours after my shot. Also my heart rate went from high 50s to mid 80s. This lasted for about 30 minutes and after that I was normal again.
Release 11 — 3 months, dose 2
Symptoms: Tested positive for Covid on 1/21. I had a couple days of very mild cold-like symptoms. I felt run down and had a bit of a runny nose, but no fever, and no loss of taste or smell. Did not test negative on an antigen test until 2/1.
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 | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release