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CUL-26989-80808

1 vaccination 3 coded responses 13 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
294 / SC
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Registered in v-safe
  2. 2021-03-24
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  5. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  6. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-14
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  11. 2021-04-21
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  12. 2021-04-28
    Survey response — day 35, single dose
    MedDRA: Chills, Fatigue, Pain, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Feverish, chills, body aches, fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-05
    Survey response — day 42, single dose
    MedDRA: Noninfective gingivitis, Vision blurred — Feeling: Fair
    Free text: Blurry vision in one eye (with blurriness that floats around) and inflamed gums
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-09-22
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2022-03-25
    Survey response — 12 months, dose 1
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy- due (b)(6)/22
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Janssen/Johnson & Johnson

Free text

Release 8 — day 35, single dose

2021-04-28

Symptoms: Feverish, chills, body aches, fatigue

Release 8 — day 42, single dose

2021-05-05

Symptoms: Blurry vision in one eye (with blurriness that floats around) and inflamed gums

Release 11 — 12 months, dose 1

2022-03-25

Symptoms: Pregnancy- due (b)(6)/22
redacted (b)(6)

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
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDNoninfective gingivitis ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPregnancy · · ✓
SDPyrexia ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓

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