544-33257-98700

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 904 / CA
Registered: 2021-04-17

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-02
Dose 1 — Janssen/Johnson & Johnson
2021-04-17
Registered in v-safe
2021-04-17
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Leg pain on right side report to LA Country

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-09
Survey response — day 35, single dose
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Leg pain continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — 3 months, dose 1
MedDRA: Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: More leg pain from possible vaccine adversed reaction to Johnson & Johnson

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-01
Survey response — 6 months, dose 1
MedDRA: Pain in extremity, Skin discolouration, 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

Free text: Symptoms: Dark spots have six and right leg still hurt due to the vaccine J&J · Healthcare visit (other): Very high deductible and now unemployed

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-12-03
Call 2 — Could Not Reach Participant
2021-12-08
Call 3 — Could Not Reach Participant
2021-12-30
Dose 2 — Moderna
2021-12-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-26
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2022-01-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2022-02-10
Survey response — day 42, dose 2
MedDRA: Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Skin rash continues to worse and appear after the second booster.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-07-02
Survey response — 6 months, dose 2
MedDRA: Immunisation reaction — Feeling: Poor · 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: Started to see signs of Covid toes

MedDRA releases: 2024-11 · check-in free text available
2022-07-02
Report sent to call center — 6 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)
2022-07-05
Call 1 — Left Voicemail
2022-07-05
Call 1 — Left Voicemail
2022-07-07
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-07-07
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-12-30
Survey response — 12 months, dose 2
MedDRA: COVID-19, Pain in extremity, Rash, Skin disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I continue to have leg pain and got Covid again for second time on December 3 Continue to have skin problems rashes on legs and now back

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Janssen/Johnson & Johnson
2	2021-12-30	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-17

Symptoms: Leg pain on right side report to LA Country

Release 8 — day 35, single dose

2021-05-09

Symptoms: Leg pain continues

Release 9 — 3 months, dose 1

2021-07-02

Symptoms: More leg pain from possible vaccine adversed reaction to Johnson & Johnson

Release 9 — 6 months, dose 1

2021-10-01

Symptoms: Dark spots have six and right leg still hurt due to the vaccine J&J

Healthcare visit (other): Very high deductible and now unemployed

Release 11 — day 42, dose 2

2022-02-10

Symptoms: Skin rash continues to worse and appear after the second booster.

Release 12 — 6 months, dose 2

2022-07-02

Symptoms: Started to see signs of Covid toes

Release 12 — 12 months, dose 2

2022-12-30

Symptoms: I continue to have leg pain and got Covid again for second time on December 3 Continue to have skin problems rashes on legs and now back

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	COVID-19	·	·	✓
SD	Immunisation reaction	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Rash	·	·	✓
SD	Skin discolouration	·	·	✓
SD	Skin disorder	·	·	✓

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