FRE-60627-09520
1 vaccination
3 coded responses
7 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 773 / TX
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-27
Registered in v-safe
-
2021-03-27
Survey response — day 7, dose 1MedDRA: Arthralgia — Feeling: Good · Joint pains · Be unable to do your normal daily activitiesFree text: On going knees pain since before shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
-
2021-04-15
Survey response — day 28, single doseMedDRA: Dizziness, Pain in extremity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Light headed and right side leg painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
-
2021-06-18
Survey response — 3 months, dose 1MedDRA: Contusion, No adverse event — 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 professionalFree text: Lots of bruising areasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-18
Report sent to call center — 3 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-19
- 2022-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Janssen/Johnson & Johnson |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): On going knees pain since before shot
Release 7 — day 28, single dose
Symptoms: Light headed and right side leg pain
Release 9 — 3 months, dose 1
Symptoms: Lots of bruising areas
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 |
|---|---|---|---|---|
| HCVO | No adverse event | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release