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FTS-49178-26540

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
787 / TX
Registered
2021-03-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Registered in v-safe
  2. 2021-03-08
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-08
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Headache, Nausea, Pain, Pyrexia — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Last night had 12 hours of chills, pain, fever, headache, nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenopia, Eye disorder, Eye pain, Headache — Feeling: Good · Headache
    Free text: My eyes still felt strained/sore about a day pay the rest of the headache fading
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-09-06
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-10-23
    Dose 2 — Moderna
  10. 2021-10-31
    Survey response — day 7, dose 2
    MedDRA: Arthralgia, Chills, Fatigue, Pain — Feeling: Good · Fatigue or tiredness
    Free text: On the day of the shot and for one day after I did have a sore shoulder and slight body aches/chills/fatigue, but it did not affect my daily activities. I'm filling this out a week after the shot.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-11-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-11-20
    Survey response — day 28, dose 2
    MedDRA: Eye pruritus, Rhinitis, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Onset of rhinitis (itchy eyes, runny nose)
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-11-27
    Survey response — day 35, dose 2
    MedDRA: Pre-existing disease, Rhinitis — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Severe allergies/rhinitis
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-04-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Janssen/Johnson & Johnson
22021-10-23Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Last night had 12 hours of chills, pain, fever, headache, nausea

2021-03-11

Systemic reaction (other): My eyes still felt strained/sore about a day pay the rest of the headache fading

Release 10 — day 7, dose 2

2021-10-31

Systemic reaction (other): On the day of the shot and for one day after I did have a sore shoulder and slight body aches/chills/fatigue, but it did not affect my daily activities. I'm filling this out a week after the shot.

Release 10 — day 28, dose 2

2021-11-20

Symptoms: Onset of rhinitis (itchy eyes, runny nose)

Release 10 — day 35, dose 2

2021-11-27

Symptoms: Severe allergies/rhinitis

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
SDEye pruritus · · ✓
SDPre-existing disease · · ✓
SDRhinitis · · ✓
SDRhinorrhoea · · ✓
SROArthralgia · · ✓
SROAsthenopia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROEye disorder ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROFatigue · · ✓
SROHeadache ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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