9KM-60437-86603
2 vaccinations
0 coded responses
2 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 331 / FL
- Registered
- 2021-11-19
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
4ZY-15428-65816
Child or adolescent in my care · Male · 2022-01-21
A22-83172-45731
Adult relative or friend · Female · 2022-01-21
VE4-17498-75905
Child or adolescent in my care · Female · 2022-01-21
FMU-18307-20684
Child or adolescent in my care · Female · 2022-01-21
Timeline
-
2021-10-27
Dose 1 — Janssen/Johnson & Johnson
-
2021-11-19
Registered in v-safe
- 2021-11-19
-
2021-12-26
Dose 2 — Janssen/Johnson & Johnson
- 2022-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-27 | Janssen/Johnson & Johnson | No |
| 2 | 2021-12-26 | Janssen/Johnson & Johnson | No |
Free text
None.
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
No MedDRA codes.