6BK-20974-00197
3 vaccinations
5 coded responses
32 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 786 / TX
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-11
-
2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
-
2021-03-25
Survey response — day 14, dose 1MedDRA: Migraine — Feeling: Good · Be unable to do your normal daily activitiesFree text: Migraine headache on 3/20/21 - likely unrelated to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-06-10
Survey response — 3 months, dose 1MedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: Not related to Covid or vaccine, I contracted hand, foot & mouth disease from my infant grandchild who is in daycare. The respiratory congestion and cough lingered for almost a month.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-09
-
2021-10-22
Dose 2 — Moderna
- 2021-10-31
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
-
2022-01-22
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis, Pyrexia, Throat irritation — Feeling: GoodFree text: Mild cold like symptoms - scratchy throat, mild feverMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Survey response — 6 months, dose 2MedDRA: Rash — Feeling: GoodFree text: I've developed a persistent rash on my face (don't know the cause). I have an appointment to see a dermatologist next week.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Dose 3 — Moderna
- 2022-06-05
- 2022-06-07
-
2022-06-14
Survey response — day 21, dose 3MedDRA: Chills, Headache, Pyrexia, SARS-CoV-2 test negative, Throat irritation — Feeling: FairFree text: Likely an unrelated virus ? slight fever/chills, scratchy throat & headache. Tested negative for Covid with an at home antigen test.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-08-23
- 2022-11-22
- 2023-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-22 | Moderna | No |
| 3 | 2022-05-24 | Moderna | No |
Free text
Release 6 — day 14, dose 1
Symptoms: Migraine headache on 3/20/21 - likely unrelated to vaccine
Release 9 — 3 months, dose 1
Symptoms: Not related to Covid or vaccine, I contracted hand, foot & mouth disease from my infant grandchild who is in daycare. The respiratory congestion and cough lingered for almost a month.
Release 11 — 3 months, dose 2
Symptoms: Mild cold like symptoms - scratchy throat, mild fever
Release 11 — 6 months, dose 2
Symptoms: I've developed a persistent rash on my face (don't know the cause). I have an appointment to see a dermatologist next week.
Release 12 — day 21, dose 3
Symptoms: Likely an unrelated virus ? slight fever/chills, scratchy throat & headache. Tested negative for Covid with an at home antigen test.
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 | Chills | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release