8ZB-13964-94493
2 vaccinations
7 coded responses
27 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 978 / OR
- Registered
- 2021-05-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-11
Dose 1 — Janssen/Johnson & Johnson
-
2021-05-12
Registered in v-safe
-
2021-05-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-13
- 2021-05-15
-
2021-05-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-05-18
- 2021-05-27
- 2021-06-01
- 2021-06-10
-
2021-06-15
Survey response — day 35, single doseMedDRA: Nasopharyngitis — Feeling: GoodFree text: Mild cold-like symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-24
- 2021-08-10
- 2021-11-09
-
2021-12-01
Dose 2 — Moderna
-
2021-12-02
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body achesFree text: Throat painMedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body achesFree text: Throat painMedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Joint painsFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Chills, Joint pains, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
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2022-01-05
Survey response — day 35, dose 2MedDRA: Cough, Fatigue, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough, runny nose, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-01-12
- 2022-03-02
- 2022-06-03
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2022-12-01
Survey response — 12 months, dose 2MedDRA: COVID-19, Ectopic pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Ectopic pregnancy, CovidMedDRA releases: 2024-11 · check-in free text available
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2022-12-01
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-12-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-11 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-01 | Unsuccessful |
Free text
Release 9 — day 35, single dose
Symptoms: Mild cold-like symptoms
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Throat pain
Systemic reaction (other): Throat pain
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Release 10 — day 35, dose 2
Symptoms: Cough, runny nose, fatigue
Release 12 — 12 months, dose 2
Symptoms: Ectopic pregnancy, Covid
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 | COVID-19 | · | · | ✓ |
| SD | Ectopic pregnancy | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release