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FHA-11822-52526

1 vaccination 6 coded responses 12 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
970 / OR
Registered
2021-10-16
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-10-14
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-10-16
    Registered in v-safe
  3. 2021-10-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-10-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site induration, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school
    Free text: Hardness at injection site swelling
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-10-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abortion spontaneous — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, Nausea
    Free text: I had a miscarriage last night. I didnt know I was pregnant. It turns out, was about 12 weeks.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-10-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-10-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  8. 2021-10-21
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-10-28
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-11-04
    Survey response — day 21, single dose
    MedDRA: Injection site induration, Injection site mass, Injection site pain, Pain in extremity — Feeling: Fair
    Free text: My arm is STILL painful, hard/lumpy and sore at injection site
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-11
    Survey response — day 28, single dose
    MedDRA: Arthralgia, Headache, Injection site mass, Injection site pain, Injection site warmth, Pain, Paraesthesia — Feeling: Fair
    Free text: Look, at this point I'm sure no one is reviewing my reports. Just in case, again, I have a lump in my arm at injection site that is still hot and painful to the touch. I am now also getting random joint and body pains, like pinpricks, and headaches.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-18
    Survey response — day 35, single dose
    MedDRA: Chest discomfort, Chest pain, Middle insomnia — Feeling: Fair
    Free text: Woke up with chest pain in the middle of the night, not heartburn, a lump/pain feeling.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-11-27
    Survey response — day 42, single dose
    MedDRA: Chest discomfort — Feeling: Fair
    Free text: Chest tightness, intermittent
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-10-16
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-10-14Janssen/Johnson & Johnson No

Free text

Release 10 — days 1–6 daily, dose 1

2021-10-17

Systemic reaction (other): Hardness at injection site swelling

2021-10-18

Systemic reaction (other): I had a miscarriage last night. I didnt know I was pregnant. It turns out, was about 12 weeks.

Release 10 — day 21, single dose

2021-11-04

Symptoms: My arm is STILL painful, hard/lumpy and sore at injection site

Release 10 — day 28, single dose

2021-11-11

Symptoms: Look, at this point I'm sure no one is reviewing my reports. Just in case, again, I have a lump in my arm at injection site that is still hot and painful to the touch. I am now also getting random joint and body pains, like pinpricks, and headaches. cut off by CDC

Release 10 — day 35, single dose

2021-11-18

Symptoms: Woke up with chest pain in the middle of the night, not heartburn, a lump/pain feeling.

Release 10 — day 42, single dose

2021-11-27

Symptoms: Chest tightness, intermittent

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
SDArthralgia · · ✓
SDChest discomfort · · ✓
SDChest pain · · ✓
SDHeadache · · ✓
SDInjection site induration · · ✓
SDInjection site mass · · ✓
SDInjection site pain · · ✓
SDInjection site warmth · · ✓
SDMiddle insomnia · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDParaesthesia · · ✓
SROAbortion spontaneous · · ✓
SROInjection site induration · · ✓
SROInjection site swelling · · ✓

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

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