TJ6-10161-13953
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 977 / OR
- Registered
- 2021-11-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Janssen/Johnson & Johnson
-
2021-11-26
Registered in v-safe
-
2021-11-26
Dose 2 — Moderna
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-02
-
2021-12-03
Survey response — day 7, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: Tingly armMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
-
2021-12-24
Survey response — day 28, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: GoodFree text: Tingling /numb arm (injection arm). Lasts about 2-3 minutes each time. Has occurred ~daily since a few days after the shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
- 2022-01-07
- 2022-02-27
-
2022-05-27
Survey response — 6 months, dose 2MedDRA: Delivery, Placental insufficiency, Pre-eclampsia, Premature baby — 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: Had a baby after suffering severe preeclampsia; he was born at 33 weeks. He also had a deteriorating placenta.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-27
Report sent to call center — 6 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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-05-31
-
2022-05-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Janssen/Johnson & Johnson | No |
| 2 | 2021-11-26 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 7, dose 2
Systemic reaction (other): Tingly arm
Release 10 — day 28, dose 2
Symptoms: Tingling /numb arm (injection arm). Lasts about 2-3 minutes each time. Has occurred ~daily since a few days after the shot.
Release 11 — 6 months, dose 2
Symptoms: Had a baby after suffering severe preeclampsia; he was born at 33 weeks. He also had a deteriorating placenta.
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 | Delivery | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Placental insufficiency | · | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Premature baby | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release