3A2-29800-73277
2 vaccinations
4 coded responses
27 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 070 / NJ
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-15
- 2021-04-16
-
2021-04-23
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Was really itchy one night almost all over the body. Lotion helped a bit. Might not be vaccine related. Has happened before but rarelyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
- 2021-05-14
-
2021-05-21
Survey response — day 42, single doseMedDRA: Productive cough — Feeling: GoodFree text: Some phlegm but I suspect it might be a result of foods I ate. Mentioning in case there is a trend.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
Survey response — 3 months, dose 1MedDRA: Chest pain, Dyspnoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Early June I felt the left side of my chest ache. I also felt concerned that I wasn't breathing easily. I went to the doctor 2 days later for electrocardiogram and chest x-ray but nothing found. Stress test and echocardiogram sched.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-14
- 2021-10-08
-
2021-10-29
Dose 2 — Moderna
-
2021-11-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Soreness near injection still present but much less intenseMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-14
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-05-01
- 2022-10-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-29 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 14, dose 1
Symptoms: Was really itchy one night almost all over the body. Lotion helped a bit. Might not be vaccine related. Has happened before but rarely
Release 8 — day 42, single dose
Symptoms: Some phlegm but I suspect it might be a result of foods I ate. Mentioning in case there is a trend.
Release 9 — 3 months, dose 1
Symptoms: Early June I felt the left side of my chest ache. I also felt concerned that I wasn't breathing easily. I went to the doctor 2 days later for electrocardiogram and chest x-ray but nothing found. Stress test and echocardiogram sched.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Soreness near injection still present but much less intense
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release