T65-15770-34487
1 vaccination
5 coded responses
13 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 231 / VA
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-11
Registered in v-safe
-
2021-04-11
Dose 1 — Janssen/Johnson & Johnson
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2021-04-11
Survey response — day 0, dose 1MedDRA: Pruritus — Feeling: Good · Fatigue or tiredness, NauseaFree text: ItchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: PainFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-18
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2021-04-25
Survey response — day 14, dose 1MedDRA: Dizziness, Headache — Feeling: GoodFree text: Dizziness and top of head headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-07-13
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2022-04-11
Survey response — 12 months, dose 1MedDRA: Cough, Dyspnoea, Respiratory tract congestion — Feeling: Fair · 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: Sever congestion / trouble breathing / coughing nonstopMedDRA releases: 2024-11 · check-in free text available
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2022-04-11
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Janssen/Johnson & Johnson |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Itchy
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Slight dizziness
Systemic reaction (other): Dizzy
Release 7 — day 14, dose 1
Symptoms: Dizziness and top of head headaches
Release 11 — 12 months, dose 1
Symptoms: Sever congestion / trouble breathing / coughing nonstop
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release