9CL-28757-61313
2 vaccinations
6 coded responses
27 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 346 / FL
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Janssen/Johnson & Johnson
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2021-03-24
Registered in v-safe
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Chills, Fatigue, Headache, Nausea, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Although I feel fine today, approximately 6 hours after receiving the vaccine I began to experience chills, headache, joint pain, body aches, fatigue, nausea and fever. Said symptoms lasted approximately 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Hot flush — Feeling: GoodFree text: Hot FlashesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-29
- 2021-04-06
- 2021-04-13
- 2021-04-19
- 2021-04-26
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2021-05-03
Survey response — day 42, single doseMedDRA: Rash, Tinea infection, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hives, Rash, RingwormMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Report sent to call center — day 42, single doseGet care from a doctor or other healthcare professional1 call case(s)
- 2021-06-04
- 2021-06-21
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2021-09-20
Survey response — 6 months, dose 1MedDRA: Bronchitis, Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: FairFree text: In August 2021, I tested negative for COVID, but was diagnosed with bronchitis. Within the past hour I have begun to experience a headache, sore throat and fatigue.MedDRA releases: 2024-11 · check-in free text available
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2021-12-20
Dose 2 — Moderna
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2021-12-20
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-12-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-12-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2021-12-27
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2022-01-03
Survey response — day 14, dose 2MedDRA: Nasal congestion — Feeling: GoodFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-01-12
- 2022-01-17
- 2022-01-24
- 2022-01-31
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2022-03-21
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-06-20
- 2022-12-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Although I feel fine today, approximately 6 hours after receiving the vaccine I began to experience chills, headache, joint pain, body aches, fatigue, nausea and fever. Said symptoms lasted approximately 24 hours.
Systemic reaction (other): Hot Flashes
Release 8 — day 42, single dose
Symptoms: Hives, Rash, Ringworm
Release 9 — 6 months, dose 1
Symptoms: In August 2021, I tested negative for COVID, but was diagnosed with bronchitis. Within the past hour I have begun to experience a headache, sore throat and fatigue.
Release 10 — day 14, dose 2
Symptoms: Nasal congestion
Release 11 — 3 months, dose 2
Symptoms: Pregnancy
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 | Bronchitis | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tinea infection | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release