2U3-27488-76938

3 vaccinations 5 coded responses 22 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 553 / MN
Registered: 2021-03-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
2021-03-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Ive had an itchy face a week. Then kind of blaming it on dry skin but now today one side is somewhat Rashy. Unsure if its a side effect of the vaccine or not but I thought I better mention it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 35, single dose
MedDRA: Fatigue, Gastric disorder, Pre-existing disease — Feeling: Fair

Free text: I have auto immune hepatitis & IBS so I was expecting to be more tired then the average person for a while but I still after 5 weeks am extra tired and having more belly issues. Ive been trying blow off hoping it would improve. Thought I would inform

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-13
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-08-24
Dose 2 — Pfizer-BioNTech
2021-09-11
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-02-22
Survey response — 6 months, dose 2
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tested positive for Covid on 12/27/2021

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Dose 3 — Pfizer-BioNTech
2022-05-01
Survey response — day 35, dose 3
MedDRA: Alanine aminotransferase increased, Aspartate aminotransferase increased, Breakthrough COVID-19, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: My liver alt and ast are elevated. Started after breakthrough Covid just before Christmas. Higher yet after my last vaccine. I'm still very tired. Will be retesting liver enzymes again very soon.

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — day 42, dose 3
MedDRA: Hepatic enzyme increased, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: My liver tests numbers are still climbing · Healthcare visit (other): Lab tests

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-11
Call successful
Does not wish to fill out VAERS report
2022-06-25
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-09-22
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-03-25
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Janssen/Johnson & Johnson
2	2021-08-24	Pfizer-BioNTech	No
3	2022-03-24	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Ive had an itchy face a week. Then kind of blaming it on dry skin but now today one side is somewhat Rashy. Unsure if its a side effect of the vaccine or not but I thought I better mention it.

Release 7 — day 35, single dose

2021-04-17

Symptoms: I have auto immune hepatitis & IBS so I was expecting to be more tired then the average person for a while but I still after 5 weeks am extra tired and having more belly issues. Ive been trying blow off hoping it would improve. Thought I would inform cut off by CDC

Release 11 — 6 months, dose 2

2022-02-22

Symptoms: Tested positive for Covid on 12/27/2021

Release 11 — day 35, dose 3

2022-05-01

Symptoms: My liver alt and ast are elevated. Started after breakthrough Covid just before Christmas. Higher yet after my last vaccine. I'm still very tired. Will be retesting liver enzymes again very soon.

Release 11 — day 42, dose 3

2022-05-10

Symptoms: My liver tests numbers are still climbing

Healthcare visit (other): Lab tests

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	Unevaluable event	·	·	✓
SD	Alanine aminotransferase increased	·	·	✓
SD	Aspartate aminotransferase increased	·	·	✓
SD	Breakthrough COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastric disorder	✓	✓	✓
SD	Hepatic enzyme increased	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release