5T6-24089-25782
3 vaccinations
5 coded responses
43 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 902 / CA
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-03
Registered in v-safe
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Fatigue or tirednessAdult check-in
-
2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pain in extremity — Feeling: Good · Site: PainFree text: The pain is in the arm (left) where I got the shot. It hurts when I try to move ite itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: I think the soreness I felt moving my arm the other day might have been a combination of the shot and sleeping on that side where I got the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
-
2021-11-03
Dose 2 — Moderna
- 2021-11-04
-
2021-11-05
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased — Feeling: Good · Site: PainFree text: Yesterday, after reporting, I developed a low grade fever (99.8F). It was gone by dinner time.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
-
2021-11-17
Survey response — day 14, dose 2MedDRA: Pharyngeal disorder, Self-medication — Feeling: GoodFree text: My throat felt a little funny. I gargled with warm salty water and a bit of lemon juice.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
- 2021-12-03
- 2021-12-08
- 2021-12-15
- 2022-02-02
- 2022-05-04
-
2022-05-27
Dose 3 — Moderna
-
2022-05-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-01
- 2022-06-02
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-08-28
- 2022-11-25
- 2023-05-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-03 | Moderna | No |
| 3 | 2022-05-27 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): The pain is in the arm (left) where I got the shot. It hurts when I try to move ite it
Systemic reaction (other): I think the soreness I felt moving my arm the other day might have been a combination of the shot and sleeping on that side where I got the shot.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday, after reporting, I developed a low grade fever (99.8F). It was gone by dinner time.
Release 10 — day 14, dose 2
Symptoms: My throat felt a little funny. I gargled with warm salty water and a bit of lemon juice.
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 | Pharyngeal disorder | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release