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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

  1. 2021-03-06
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-03-14
    Registered in v-safe
  3. 2021-03-14
    Survey response — day 7, dose 1
    MedDRA: Cough, Fatigue, Pain in extremity, Rhinorrhoea — Feeling: Poor · Headache, Fatigue or tiredness
    Free 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 cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-20
    Survey response — day 14, dose 1
    MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to work
    Free text: I Tested Positive with COVID
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-27
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  6. 2021-04-05
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  7. 2021-04-10
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  8. 2021-04-17
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  9. 2021-06-05
    Survey response — 3 months, dose 1
    MedDRA: Dyspnoea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Shortness of breath that I never had before · Healthcare visit (other): Seen my primary
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-05
    Report sent to call center — 3 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-06-09
  12. 2021-09-06
    Survey response — 6 months, dose 1
    MedDRA: Ageusia, Anosmia, COVID-19, Chest pain, Memory impairment, Office visit, Weight increased — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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 ekg
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-09-06
    Report sent to call center — 6 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-09-07
  15. 2021-09-08
    Call successful
    Participant prefers to complete VAERS report online
  16. 2021-10-30
    Dose 2 — Moderna
  17. 2022-03-06
    Survey response — 12 months, dose 1
    MedDRA: Ageusia, Memory impairment — Feeling: Fair
    Free text: Short term memory is terrible and I still don't have my taste all back
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-09-27
    Dose 3 — Moderna
    Co-administered: Tetanus
  19. 2022-10-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-11-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-11-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-12-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2023-03-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Janssen/Johnson & Johnson
22021-10-30Moderna No
32022-09-27Moderna Tetanus

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-14

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

2021-03-20

Symptoms: I Tested Positive with COVID

Release 8 — 3 months, dose 1

2021-06-05

Symptoms: Shortness of breath that I never had before
Healthcare visit (other): Seen my primary

Release 9 — 6 months, dose 1

2021-09-06

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

2022-03-06

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAgeusia ✓ · ✓
SDAnosmia ✓ · ✓
SDChest pain ✓ · ✓
SDCOVID-19 ✓ · ✓
SDDyspnoea ✓ ✓ ✓
SDMemory impairment ✓ · ✓
SDOffice visit ✓ · ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓
SDWeight increased ✓ · ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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