2CA-22685-02878
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 018 / MA
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
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2021-03-04
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-04
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-09
- 2021-03-10
- 2021-03-11
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2021-03-18
Survey response — day 14, dose 1MedDRA: Asthma, Fatigue, Feeling abnormal, Pain, Pre-existing disease — Feeling: Fair · Be unable to work, 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: Fatigue. Asthma attack. Foggy brain. Aches and pains.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-27
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-05-17
-
2021-06-03
Survey response — 3 months, dose 1MedDRA: Brain fog, Fatigue — Feeling: Good · Be unable to work, 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: Foggy brain. Fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Report sent to call center — 3 months, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-07
-
2021-07-01
Call successfulCompleted over the phone
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2021-09-02
Survey response — 6 months, dose 1MedDRA: Brain fog, Colonoscopy abnormal, Inflammation, Large intestine polyp, Memory impairment, Nausea, Weight decreased — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Memory issues and brain fog. Inflammation. Large polyps found in colonoscopy. Nausea is constant. Lost 35 pounds.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-03
- 2021-09-10
-
2021-10-23
Dose 2 — Pfizer-BioNTech
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2021-10-31
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Joint pains · Be unable to do your normal daily activitiesAdult check-in
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2021-11-06
Survey response — day 14, dose 2MedDRA: Back pain, Nausea, Neck pain, Tenotomy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Back and neck ache. Achilles' tendon in left foot is stretched out an inch and a half. Not sure if related but also not sure if from other source. Nausea.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-13
- 2021-11-22
- 2021-11-27
- 2021-12-06
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2022-01-22
Survey response — 3 months, dose 2MedDRA: COVID-19 — Feeling: Poor · 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: CovidMedDRA releases: 2024-11 · check-in free text available
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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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-24
-
2022-01-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-23
Survey response — 6 months, dose 2MedDRA: COVID-19, Influenza, Unevaluable event — Feeling: Poor · 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: I had Covid immediately after last contact. I had the flu I have a cokeMedDRA releases: 2024-11 · check-in free text available
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2022-04-23
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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-25
-
2022-05-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-23 | Pfizer-BioNTech | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 3
Free text
Release 5 — day 14, dose 1
Symptoms: Fatigue. Asthma attack. Foggy brain. Aches and pains.
Release 8 — 3 months, dose 1
Symptoms: Foggy brain. Fatigue.
Release 9 — 6 months, dose 1
Symptoms: Memory issues and brain fog. Inflammation. Large polyps found in colonoscopy. Nausea is constant. Lost 35 pounds.
Release 10 — day 14, dose 2
Symptoms: Back and neck ache. Achilles' tendon in left foot is stretched out an inch and a half. Not sure if related but also not sure if from other source. Nausea.
Release 11 — 3 months, dose 2
Symptoms: Covid
Release 11 — 6 months, dose 2
Symptoms: I had Covid immediately after last contact. I had the flu I have a coke
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 | Asthma | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Colonoscopy abnormal | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Large intestine polyp | ✓ | · | ✓ |
| SD | Memory impairment | ✓ | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Tenotomy | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Weight decreased | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release