5GH-32412-78624
1 vaccination
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 063 / CT
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-11
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-14
Registered in v-safe
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Nausea, Abdominal painAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-18
-
2021-04-25
Survey response — day 14, dose 1MedDRA: Rash — Feeling: GoodFree text: Rash on arms and legs but only for a few hours then it went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-07-11
- 2021-10-10
-
2022-04-14
Survey response — 12 months, dose 1MedDRA: Chills, Headache, Nasal congestion, Nausea, Pain, Pre-existing disease, Pyrexia, SARS-CoV-2 test positive, Sciatica — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Positive Covid test. Body aches. Headache, fever, chills, nausea, sciatica exacerbation, nasal congestion.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-14
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-14 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Rash on arms and legs but only for a few hours then it went away.
Release 11 — 12 months, dose 1
Symptoms: Positive Covid test. Body aches. Headache, fever, chills, nausea, sciatica exacerbation, nasal congestion.
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 | Chills | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sciatica | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release