4NF-26250-06630
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 891 / NV
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- N/A
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-09
- 2021-03-11
- 2021-03-12
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-03-15
- 2021-03-16
-
2021-03-24
Survey response — day 14, dose 1MedDRA: Diarrhoea, Dry throat, Eye pruritus, Headache, Influenza like illness, Pain, Pruritus, Pyrexia, Rash, Throat irritation — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have flu like symptoms: dry throat, ichy throat, aches and pains, itchy left eye, rash and itchy skin, diarrhea, headache, very slight fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
-
2021-04-14
Survey response — day 35, single doseMedDRA: Abdominal pain, Arthralgia, Back pain — Feeling: GoodFree text: Abdominal pain last week, but gone now.Lower shoulder, left side back ache. Come and go.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-06-08
-
2021-09-07
Survey response — 6 months, dose 1MedDRA: Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: All the symptoms of covid19 but i didn't lose my sense of smell and taste, nor shortness or difficulty in breathing.Lasted almost two weeks, but i'm fine now. I tested twice, both results were negative.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Dose 2 — ModernaCo-administered: Flu
-
2022-03-11
Survey response — 12 months, dose 1MedDRA: Influenza like illness — Feeling: GoodFree text: Flu like symptomsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-21 | Moderna | Flu |
Free text
Release 6 — day 14, dose 1
Symptoms: I have flu like symptoms: dry throat, ichy throat, aches and pains, itchy left eye, rash and itchy skin, diarrhea, headache, very slight fever.
Release 7 — day 35, single dose
Symptoms: Abdominal pain last week, but gone now.Lower shoulder, left side back ache. Come and go.
Release 9 — 6 months, dose 1
Symptoms: All the symptoms of covid19 but i didn't lose my sense of smell and taste, nor shortness or difficulty in breathing.Lasted almost two weeks, but i'm fine now. I tested twice, both results were negative.
Release 11 — 12 months, dose 1
Symptoms: Flu like symptoms
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dry throat | ✓ | ✓ | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release