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
-
2021-09-05
Registered in v-safe
-
2021-09-10
Dose 1 — Janssen/Johnson & Johnson
- 2021-09-10
- 2021-09-11
-
2021-09-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Abdominal painAdult check-in
- 2021-09-13
- 2021-09-15
- 2021-09-16
- 2021-09-17
- 2021-09-24
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-10-22
-
2021-12-10
Survey response — 3 months, dose 1MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cold symptoms, sore throat, coughMedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-12-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-13
-
2022-09-10
Survey response — 12 months, dose 1MedDRA: Ovarian cyst — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Ovarian cystMedDRA releases: 2024-11 · check-in free text available
-
2022-09-10
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-09-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-10 | Janssen/Johnson & Johnson | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 10 — 3 months, dose 1
Symptoms: Cold symptoms, sore throat, cough
Release 12 — 12 months, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Ovarian cyst | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release