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J5K-28751-42203

1 vaccination 3 coded responses 13 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
144 / NY
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-06
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  6. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches
    Adult check-in
  7. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Survey response — day 28, single dose
    MedDRA: Injection site pain, Neck pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: PAin at shot site and on that side of neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-15
    Survey response — day 35, single dose
    MedDRA: Ear pain, Headache, Injection site pain — Feeling: Fair
    Free text: Pain in The lower aback part of my head that feeds down to my ear and my arm where I had the injection, and of and on headaches that I cant tell if they are from hormones.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-19
    Health check-in — day 42, single dose
    Feeling: Fair
    Adult check-in
  14. 2021-06-05
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  15. 2022-03-06
    Survey response — 12 months, dose 1
    MedDRA: Abortion spontaneous, COVID-19, Impaired driving ability, Migraine — Feeling: Good · Be unable to do your normal daily activities
    Free text: Migraines and couldn't drive home, and I got Covid. A miscarriage
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Janssen/Johnson & Johnson

Free text

Release 7 — day 28, single dose

2021-04-08

Symptoms: PAin at shot site and on that side of neck

Release 7 — day 35, single dose

2021-04-15

Symptoms: Pain in The lower aback part of my head that feeds down to my ear and my arm where I had the injection, and of and on headaches that I cant tell if they are from hormones.

Release 11 — 12 months, dose 1

2022-03-06

Symptoms: Migraines and couldn't drive home, and I got Covid. A miscarriage

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
SDAbortion spontaneous · · ✓
SDCOVID-19 · · ✓
SDEar pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDImpaired driving ability · · ✓
SDInjection site pain ✓ ✓ ✓
SDMigraine · · ✓
SDNeck pain ✓ ✓ ✓

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