4JM-23359-29130
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 021 / MA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Registered in v-safe
-
2021-04-08
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-08
-
2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Disturbance in attention, Dizziness — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizziness, hard to concentrate, weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: WeaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Anxiety over the pause on the vaccine due to blood clots. Would like more info from the CDC on any prior health and physical conditions of the women who developed blood clots to compare to my personal health and physical conditions.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-07
- 2021-05-13
- 2021-05-20
- 2021-07-08
- 2021-10-07
-
2021-10-28
Dose 2 — Moderna
-
2021-11-01
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature decreased, Chills, Injection site pain, Lymphadenopathy, Pain — Feeling: Good · Site: PainFree text: For 36 hours post shot, I had body aches, chills (temp dropped to 95), mild pain at sit of injection, and swollen lymph nodes under the arm that received the injection.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
- 2022-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-28 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness, hard to concentrate, weakness
Systemic reaction (other): Weakness
Systemic reaction (other): Anxiety over the pause on the vaccine due to blood clots. Would like more info from the CDC on any prior health and physical conditions of the women who developed blood clots to compare to my personal health and physical conditions.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): For 36 hours post shot, I had body aches, chills (temp dropped to 95), mild pain at sit of injection, and swollen lymph nodes under the arm that received the injection.
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 |
|---|---|---|---|---|
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release