7KK-30402-31083

1 vaccination 1 coded response 1 check-in 1 free-text entry 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 958 / CA
Registered: 2022-01-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

ZNA-33795-13033 Other · Female · 2022-01-06

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-16
Dose 1 — Janssen/Johnson & Johnson
2022-01-06
Registered in v-safe
2022-05-16
Survey response — 12 months, dose 1
MedDRA: Cough, Malaise, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I got sick with chest congestion and a bad cough. Tested negative

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-16	Janssen/Johnson & Johnson	No

Free text

Release 11 — 12 months, dose 1

2022-05-16

Symptoms: I got sick with chest congestion and a bad cough. Tested negative

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	Cough	·	·	✓
SD	Malaise	·	·	✓
SD	Respiratory tract congestion	·	·	✓

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