58H-24236-56372
3 vaccinations
5 coded responses
14 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 150 / PA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-14
Registered in v-safe
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2021-03-14
Survey response — day 7, dose 1MedDRA: Cough, Fatigue, Pain in extremity, Rhinorrhoea — Feeling: Poor · Headache, Fatigue or tirednessFree text: During my first week sore arm three days. Raspy cough started on Wednesday and now Sunday the 14th Im real tired and nose running with the coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Survey response — day 14, dose 1MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to workFree text: I Tested Positive with COVIDMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-05
- 2021-04-10
- 2021-04-17
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2021-06-05
Survey response — 3 months, dose 1MedDRA: Dyspnoea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Shortness of breath that I never had before · Healthcare visit (other): Seen my primaryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-05
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-09
-
2021-09-06
Survey response — 6 months, dose 1MedDRA: Ageusia, Anosmia, COVID-19, Chest pain, Memory impairment, Office visit, Weight increased — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: After Covid on March 15th I still dont have all my taste and smell. Seems like I forget a lot more now than I ever didWeight gainI had chest pain fludder I saw a doctor and he couldnt find anything wrong · Healthcare visit (other): Saw my doctor and he did a stress mri and a ekgMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-06
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-07
-
2021-09-08
Call successfulParticipant prefers to complete VAERS report online
-
2021-10-30
Dose 2 — Moderna
-
2022-03-06
Survey response — 12 months, dose 1MedDRA: Ageusia, Memory impairment — Feeling: FairFree text: Short term memory is terrible and I still don't have my taste all backMedDRA releases: 2024-11 · check-in free text available
-
2022-09-27
Dose 3 — ModernaCo-administered: Tetanus
- 2022-10-29
- 2022-11-03
- 2022-11-08
- 2022-12-27
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-30 | Moderna | No |
| 3 | 2022-09-27 | Moderna | Tetanus |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): During my first week sore arm three days. Raspy cough started on Wednesday and now Sunday the 14th Im real tired and nose running with the cough
Release 6 — day 14, dose 1
Symptoms: I Tested Positive with COVID
Release 8 — 3 months, dose 1
Symptoms: Shortness of breath that I never had before
Healthcare visit (other): Seen my primary
Release 9 — 6 months, dose 1
Symptoms: After Covid on March 15th I still dont have all my taste and smell. Seems like I forget a lot more now than I ever didWeight gainI had chest pain fludder I saw a doctor and he couldnt find anything wrong
Healthcare visit (other): Saw my doctor and he did a stress mri and a ekg
Release 11 — 12 months, dose 1
Symptoms: Short term memory is terrible and I still don't have my taste all 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 | Office visit | ✓ | ✓ | ✓ |
| SD | Ageusia | ✓ | · | ✓ |
| SD | Anosmia | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SD | Weight increased | ✓ | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release