5TZ-10179-41593 · OpenVSafe

Timeline

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Janssen/Johnson & Johnson
2021-04-09
Survey response — day 0, dose 1
MedDRA: Feeling abnormal, Rhinorrhoea — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work

Free text: Runny nose, Brian fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Running nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-11
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-08
Survey response — 6 months, dose 1
MedDRA: COVID-19 pneumonia — 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 · Hospitalization

Free text: I have covid pneumonia and feel awful!

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
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

Hospitalization · 1 call case(s)
2021-10-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Janssen/Johnson & Johnson

Call center

Reported	Outcome	VAERS-related outcome
2021-10-08	Successful 2021-10-11	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 7 — day 0, dose 1

2021-04-09

Systemic reaction (other): Runny nose, Brian fog

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): Running nose

Release 10 — 6 months, dose 1

2021-10-08

Symptoms: I have covid pneumonia and feel awful!

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	COVID-19 pneumonia	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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