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3KA-59574-37271

1 vaccination 2 coded responses 15 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
758 / TX
Registered
2021-09-05
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino
Registered dependents
GTR-79126-73803 Child or adolescent in my care · Female · 2021-09-05
C2H-17391-78031 Child or adolescent in my care · Female · 2021-09-05
XDM-31748-21215 Child or adolescent in my care · Male · 2021-09-05

Timeline

  1. 2021-09-05
    Registered in v-safe
  2. 2021-09-10
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-09-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-09-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-09-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Chills, Headache, Abdominal pain
    Adult check-in
  6. 2021-09-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-09-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-09-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-09-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-09-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-10-01
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  12. 2021-10-08
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  13. 2021-10-15
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  14. 2021-10-22
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  15. 2021-12-10
    Survey response — 3 months, dose 1
    MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Cold symptoms, sore throat, cough
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-12-10
    Report sent to call center — 3 months, dose 1
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  17. 2021-12-13
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  18. 2022-03-13
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  19. 2022-09-10
    Survey response — 12 months, dose 1
    MedDRA: Ovarian cyst — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Ovarian cyst
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-09-10
    Report sent to call center — 12 months, dose 1
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  21. 2022-09-12

Vaccinations

DoseDateManufacturerCo-administered
12021-09-10Janssen/Johnson & Johnson No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — 3 months, dose 1

2021-12-10

Symptoms: Cold symptoms, sore throat, cough

Release 12 — 12 months, dose 1

2022-09-10

Symptoms: Ovarian cyst

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDOvarian cyst · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release