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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

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-25
    Survey response — day 14, dose 1
    MedDRA: Migraine — Feeling: Good · Be unable to do your normal daily activities
    Free text: Migraine headache on 3/20/21 - likely unrelated to vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-01
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  13. 2021-04-08
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  14. 2021-04-15
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  15. 2021-04-22
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  16. 2021-06-10
    Survey response — 3 months, dose 1
    MedDRA: Cough, Respiratory tract congestion — Feeling: Good
    Free 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
  17. 2021-09-09
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2021-10-22
    Dose 2 — Moderna
  19. 2021-10-31
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-11-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-12-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-01-22
    Survey response — 3 months, dose 2
    MedDRA: Nasopharyngitis, Pyrexia, Throat irritation — Feeling: Good
    Free text: Mild cold like symptoms - scratchy throat, mild fever
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-04-22
    Survey response — 6 months, dose 2
    MedDRA: Rash — Feeling: Good
    Free 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
  27. 2022-05-24
    Dose 3 — Moderna
  28. 2022-06-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2022-06-07
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-06-14
    Survey response — day 21, dose 3
    MedDRA: Chills, Headache, Pyrexia, SARS-CoV-2 test negative, Throat irritation — Feeling: Fair
    Free 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
  31. 2022-06-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-06-28
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-07-05
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-08-23
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-11-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2023-05-24
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Janssen/Johnson & Johnson
22021-10-22Moderna No
32022-05-24Moderna No

Free text

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Migraine headache on 3/20/21 - likely unrelated to vaccine

Release 9 — 3 months, dose 1

2021-06-10

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

2022-01-22

Symptoms: Mild cold like symptoms - scratchy throat, mild fever

Release 11 — 6 months, dose 2

2022-04-22

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

2022-06-14

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

FieldPreferred term2021-092023-042024-11
SDChills · · ✓
SDCough ✓ ✓ ✓
SDHeadache · · ✓
SDMigraine ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDRash · · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDThroat irritation · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release