RYX-10926-04622
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 960 / CA
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
GVF-62630-24474
Child or adolescent in my care · Female · 2021-12-23
TBJ-11397-95669
Child or adolescent in my care · Female · 2021-12-23
ULJ-23375-41484
Child or adolescent in my care · Female · 2021-12-28
Timeline
-
2021-04-08
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-10
Registered in v-safe
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-17
- 2021-04-24
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-08
-
2021-12-21
Dose 2 — Moderna
-
2021-12-22
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, DiarrheaFree text: Little trouble breathing for a hour or so after shot but i have asthmaMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2021-12-25
- 2021-12-27
- 2021-12-28
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-01-25
- 2022-02-01
- 2022-03-24
- 2022-06-23
-
2022-12-21
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Fatigue, Headache, Pulmonary pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have covid, with cough, lungs hurt, fatigue, headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-12-21
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-22
-
2022-12-22
Callback requested for02:30PM ET
-
2022-12-22
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Little trouble breathing for a hour or so after shot but i have asthma
Release 12 — 12 months, dose 2
Symptoms: I have covid, with cough, lungs hurt, fatigue, headache
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pulmonary pain | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release