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8M4-33209-62110

1 vaccination 5 coded responses 14 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
786 / TX
Registered
2021-04-03
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-04-03
    Registered in v-safe
  2. 2021-04-03
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-04-03
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Super Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Could not sleep last night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  10. 2021-04-12
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-17
    Survey response — day 14, dose 1
    MedDRA: Head discomfort, Ocular discomfort — Feeling: Fair
    Free text: Pressure in my head towards the back and behind my left eye.... super tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-25
    Health check-in — day 21, single dose
    Feeling: Fair
    Adult check-in
  13. 2021-05-03
    Health check-in — day 28, single dose
    Feeling: Fair
    Adult check-in
  14. 2021-05-09
    Health check-in — day 35, single dose
    Feeling: Fair
    Adult check-in
  15. 2021-05-17
    Survey response — day 42, single dose
    MedDRA: Asthenia, Fatigue, Insomnia, Migraine, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Bad Migraines Tiredness Lack of Energy Trouble Sleeping Muscular Aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-10-02
    Survey response — 6 months, dose 1
    MedDRA: Abortion spontaneous, Injection site pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I had a miscarriage in September. I was 3 months along.My injection site in my left arm still aches.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-03Janssen/Johnson & Johnson

Free text

Release 6 — day 0, dose 1

2021-04-03

Systemic reaction (other): Super Dizzy

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Could not sleep last night

Release 7 — day 14, dose 1

2021-04-17

Symptoms: Pressure in my head towards the back and behind my left eye.... super tired

Release 8 — day 42, single dose

2021-05-17

Symptoms: Bad Migraines Tiredness Lack of Energy Trouble Sleeping Muscular Aches

Release 9 — 6 months, dose 1

2021-10-02

Symptoms: I had a miscarriage in September. I was 3 months along.My injection site in my left arm still aches.

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
SDAbortion spontaneous · · ✓
SDAsthenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHead discomfort ✓ ✓ ✓
SDInjection site pain · · ✓
SDInsomnia ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDOcular discomfort ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓

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

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