3XW-23008-55996

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 029 / RI
Registered: 2021-04-08

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

2021-03-06
Dose 1 — Janssen/Johnson & Johnson
2021-04-08
Registered in v-safe
2021-04-08
Survey response — day 28, single dose
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 35, single dose
MedDRA: Autoimmune disorder, Chills, Diarrhoea, Migraine, Nausea, Pyrexia, Tremor — Feeling: Poor · 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 visit

Free text: Symptoms: I have had 24 hours of diarrhea and the last two days, I've had severe migraines. I woke up with shaking chills,nnauseas and a fever of 101. I have been sick ever since I got the vaccine, and my symptoms replicate those in other states who got J & J. · Healthcare visit (other): I saw my neurologist who treats my migraines. I wish more autoimmune patients were included in the clinical trials. We all can't be imagining the same symptoms. This is no way to do things. I won't get another vaccine. I'll take my chances. It's basically quality of health vs. quantity of health. Just as Trump tried to convince us there was no COVID, you're trying to convince us that the vaccine is healthy for us. I'm not even this sick w/cancer.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 35, 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)
2021-04-17
Survey response — day 42, single dose
MedDRA: Headache, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continuation of headaches and leg cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-06-17
Call successful
Completed over the phone
2021-09-04
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-10-30
Dose 2 — Pfizer-BioNTech
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Lightheaded

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-01-29
Survey response — 3 months, dose 2
MedDRA: Back pain, Cough, Headache, Sinusitis — 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: Cough, headache, Backache, Sinusitis

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — 3 months, dose 2
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)
2022-01-31
Call 1 — Left Voicemail
2022-05-03
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-10-31
Survey response — 12 months, dose 2
MedDRA: Headache, Nasal disorder, Oropharyngeal pain, Pyrexia — 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: Severe Sore Throat Nasal Symptoms Headaches High Fever

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Report sent to call center — 12 months, dose 2
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)
2022-11-01
Call 2 — Left Voicemail
2022-11-01
Call 1 — Left Voicemail
2022-11-03
Call successful
Participant prefers to complete VAERS report online
2022-11-03
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Janssen/Johnson & Johnson
2	2021-10-30	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 7 — day 28, single dose

2021-04-08

Symptoms: Diarrhea

Release 7 — day 35, single dose

2021-04-10

Symptoms: I have had 24 hours of diarrhea and the last two days, I've had severe migraines. I woke up with shaking chills,nnauseas and a fever of 101. I have been sick ever since I got the vaccine, and my symptoms replicate those in other states who got J & J. cut off by CDC

Healthcare visit (other): I saw my neurologist who treats my migraines. I wish more autoimmune patients were included in the clinical trials. We all can't be imagining the same symptoms. This is no way to do things. I won't get another vaccine. I'll take my chances. It's basically quality of health vs. quantity of health. Just as Trump tried to convince us there was no COVID, you're trying to convince us that the vaccine is healthy for us. I'm not even this sick w/cancer.

Release 7 — day 42, single dose

2021-04-17

Symptoms: Continuation of headaches and leg cramps

Release 10 — days 1–6 daily, dose 2

2021-11-02

Systemic reaction (other): Lightheaded

Release 11 — 3 months, dose 2

2022-01-29

Symptoms: Cough, headache, Backache, Sinusitis

Release 12 — 12 months, dose 2

2022-10-31

Symptoms: Severe Sore Throat Nasal Symptoms Headaches High Fever

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	Autoimmune disorder	✓	✓	✓
HCVO	Migraine	✓	✓	✓
SD	Back pain	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasal disorder	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Tremor	✓	✓	✓
SRO	Dizziness	·	·	✓

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