JXJ-13560-92559
3 vaccinations
6 coded responses
33 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 400 / KY
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-09
-
2021-03-16
Survey response — day 14, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Injection site is sore again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
-
2021-03-30
Survey response — day 0, dose 2MedDRA: Discomfort, Sluggishness — Feeling: GoodFree text: Just feeling heavy or sluggishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-27
-
2021-05-11
Survey response — day 42, dose 2MedDRA: Abdominal pain, Nausea, Vomiting — Feeling: Poor · Be unable to workFree text: Abdominal pain, nausea, vomiting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-29
Survey response — 3 months, dose 2MedDRA: Colitis, Hospitalisation, Thrombosis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Blood clots in my right leg. Was hospitalized for colitis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-29
Report sent to call center — 3 months, dose 2Be 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)
- 2021-07-08
- 2021-09-28
-
2021-10-23
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
-
2022-04-23
Survey response — 6 months, dose 3MedDRA: Tendon rupture — Feeling: Fair · Be unable to work or attend schoolFree text: Torn Achilles tendon. I don't think it was caused by the vaccines.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Survey response — 12 months, dose 3MedDRA: Small intestinal obstruction — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Small bowel obstruction.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-10-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 14, dose 1
Symptoms: Injection site is sore again.
Release 6 — day 0, dose 2
Systemic reaction (other): Just feeling heavy or sluggish
Release 8 — day 42, dose 2
Symptoms: Abdominal pain, nausea, vomiting.
Release 9 — 3 months, dose 2
Symptoms: Blood clots in my right leg. Was hospitalized for colitis.
Release 11 — 6 months, dose 3
Symptoms: Torn Achilles tendon. I don't think it was caused by the vaccines.
Release 12 — 12 months, dose 3
Symptoms: Small bowel obstruction.
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 |
|---|---|---|---|---|
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Colitis | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Small intestinal obstruction | · | · | ✓ |
| SD | Tendon rupture | · | · | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Sluggishness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release