4QH-19950-92316
2 vaccinations
1 coded response
9 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 730 / OK
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
4E3-19039-70110
Child or adolescent in my care · Male · 2021-10-31
Timeline
-
2021-03-29
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-30
Registered in v-safe
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-03
-
2021-04-05
Survey response — day 7, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Ive been itchy on my face since my shot but dont know for sure if thats what caused itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-29
-
2021-10-27
Dose 2 — Janssen/Johnson & Johnson
- 2021-10-31
- 2021-11-02
- 2021-11-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-27 | Janssen/Johnson & Johnson | No |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Ive been itchy on my face since my shot but dont know for sure if thats what caused it
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 | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release