VFH-33814-29762
2 vaccinations
6 coded responses
28 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 770 / TX
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-10
Registered in v-safe
-
2021-04-10
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
-
2021-04-24
Survey response — day 14, dose 1MedDRA: Dizziness, Headache — Feeling: GoodFree text: Light headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
-
2021-05-08
Survey response — day 28, single doseMedDRA: Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose, sore throat, light head acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
-
2021-05-22
Survey response — day 42, single doseMedDRA: Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose. Head ache, sore throat...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-10
- 2021-10-09
-
2022-01-11
Dose 2 — Moderna
- 2022-01-14
- 2022-01-15
- 2022-01-16
- 2022-01-17
- 2022-01-18
- 2022-01-25
- 2022-02-01
-
2022-02-08
Survey response — day 28, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: Tingle left under footMedDRA releases: 2024-11 · check-in free text available
- 2022-02-15
- 2022-02-22
-
2022-04-12
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Oropharyngeal pain, Pre-existing disease, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Runny nose allergies Sore throat Shortness of breathMedDRA releases: 2024-11 · check-in free text available
-
2022-04-12
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-14
- 2022-07-12
-
2023-01-11
Survey response — 12 months, dose 2MedDRA: Headache, Madarosis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-01-11
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2023-01-12
- 2023-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Janssen/Johnson & Johnson | |
| 2 | 2022-01-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-12 | Unsuccessful | |
| 2023-01-11 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Light headache
Release 8 — day 28, single dose
Symptoms: Runny nose, sore throat, light head ache
Release 8 — day 42, single dose
Symptoms: Runny nose. Head ache, sore throat...
Release 11 — day 28, dose 2
Symptoms: Tingle left under foot
Release 11 — 3 months, dose 2
Symptoms: Runny nose allergies Sore throat Shortness of breath
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ○ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Madarosis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release