36X-28816-85665

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1263002 (opens in a new window)	high	8 / 11	2	6 of 14 VAERS symptoms	VAERS dose unknown	WA matches	2021-04-10 / 2021-04-10 / 2021-04-27 received 357 days before the last call	case 500144

Timeline

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

2021-04-10
Dose 1 — Janssen/Johnson & Johnson
2021-04-11
Registered in v-safe
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-04-13
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-17
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Call 1 — Could Not Reach Participant
2021-04-22
Call 2 — Could Not Reach Participant
2021-04-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Call successful
Completed over the phone
2021-05-01
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 28, single dose
MedDRA: Abdominal pain upper, Arthralgia, Dehydration, Diarrhoea, Myalgia, Nausea, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Myalgia, fever, muscle pain, nausea, stomach pain, joint pain, dehydration, diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 28, single dose
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-10-09
Survey response — 6 months, dose 1
MedDRA: Pre-existing disease — 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: Psoriatic arthritis

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — 6 months, dose 1
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)
2021-10-11
Call 1 — Left Voicemail
2021-10-11
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-04-11
Survey response — 12 months, dose 1
MedDRA: Autoimmune disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Autoimmune

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-19
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Janssen/Johnson & Johnson

Call center

Reported	Outcome	VAERS-related outcome
2021-04-13	Successful 2021-04-27	Completed over the phone
2021-05-08	Successful	Completed over the phone
2021-10-09	Successful 2021-10-11	Reported to VAERS voluntarily prior to GDIT contact
2022-04-11	Successful 2022-04-19	Reported to VAERS during previous contact from GDIT

Free text

Release 8 — day 28, single dose

2021-05-08

Symptoms: Myalgia, fever, muscle pain, nausea, stomach pain, joint pain, dehydration, diarrhea.

Release 10 — 6 months, dose 1

2021-10-09

Symptoms: Psoriatic arthritis

Release 11 — 12 months, dose 1

2022-04-11

Symptoms: Autoimmune

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	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Autoimmune disorder	·	·	✓
SD	Dehydration	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓

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

Possible VAERS report