RQH-21708-69660
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 970 / OR
- Registered
- 2021-04-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-20
Registered in v-safe
- 2021-04-20
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
-
2021-07-12
Survey response — 3 months, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: I'm pregnant!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-11
-
2021-10-23
Dose 2 — ModernaCo-administered: Flu
-
2021-10-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
-
2021-10-29
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: The flu shot arm hurt worse than the vivid arm.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-11-06
- 2021-11-13
-
2021-11-20
Survey response — day 28, dose 2MedDRA: Headache, Stress — Feeling: GoodFree text: Stress headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-12-04
-
2022-01-22
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous, Corneal abrasion — 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 · Telehealth, virtual health, or email health consultationFree text: Miscarriage at 6 weeks. 2mm corneal abrasion.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-22
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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-25
-
2022-04-23
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Two colds - my toddler started preschoolMedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis, Pharyngitis streptococcal — 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 professional · Outpatient clinic or urgent care clinic visitFree text: Strep throat and a coldMedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-26
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-23 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-22 | Unsuccessful | |
| 2022-10-23 | Unsuccessful |
Free text
Release 9 — 3 months, dose 1
Symptoms: I'm pregnant!
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): The flu shot arm hurt worse than the vivid arm.
Release 10 — day 28, dose 2
Symptoms: Stress headache
Release 11 — 3 months, dose 2
Symptoms: Miscarriage at 6 weeks. 2mm corneal abrasion.
Release 11 — 6 months, dose 2
Symptoms: Two colds - my toddler started preschool
Release 12 — 12 months, dose 2
Symptoms: Strep throat and a cold
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 | Abortion spontaneous | · | · | ✓ |
| SD | Corneal abrasion | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Stress | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release