5UX-20983-22444
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 910 / CA
- Registered
- 2021-05-11
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QEW-12909-69099
Child or adolescent in my care · Male · 2021-08-23
7AW-19792-52832
Adult relative or friend · Male · 2022-01-01
Timeline
-
2021-04-01
Dose 1 — Janssen/Johnson & Johnson
-
2021-05-11
Registered in v-safe
- 2021-05-11
-
2021-05-14
Survey response — day 42, single doseMedDRA: Headache, Migraine — Feeling: Poor · Be unable to work, 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: Now: Headachep and fatigueOriginally, ~5 days after vaccination, had a migraine that lasted almost 2 weeks. My reaction could've be exacerbated by chronic migraines. However, I've never had a migraine last that long at such a high pain levelMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-14
Report sent to call center — day 42, single doseBe unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-31
-
2021-06-07
Call successfulParticipant prefers to complete VAERS report online
-
2021-07-01
Survey response — 3 months, dose 1MedDRA: Brain fog, Eczema, Migraine, Office visit, Pre-existing disease, Vertigo — 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 · Telehealth, virtual health, or email health consultationFree text: Symptoms: Horrible outbreak of eczema in area I've never had (10+ yrs). Tho I've struggled with these for the past 2 yrs + it may be a coincidence, but I seem to have more frequent, intense migraines and having issues with vertigo and (esp) cloudy brain. · Healthcare visit (other): In office Dr visits. Note for next Qs: I've never been tested for COVIDMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-01
Report sent to call center — 3 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 pr1 call case(s)
- 2021-07-06
- 2021-09-30
-
2021-12-03
Dose 2 — ModernaCo-administered: Flu
- 2021-12-18
-
2021-12-26
Survey response — day 21, dose 2MedDRA: Autoscopy, Balance disorder, Body temperature increased, Brain fog, Clumsiness, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: more non-migraine headaches; fuzzy/cloudy thinking/brain; out-of-body feeling; slightly elevated temp (99.1); more clumsy and off-balance than normMedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
-
2022-01-07
Survey response — day 35, dose 2MedDRA: Balance disorder, Cataract operation, Clumsiness, Condition aggravated, Eczema, Fatigue, Migraine, Pre-existing disease — Feeling: Fair · Be unable to work or attend schoolFree text: severe headache (migraine-like), balance issues, fatigue, extreme clumsiness, eczema outbreak may also be related to ongoing health issues and vaccine has escalated them. cataract surgery 2 weeks ago.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-04
-
2022-06-03
Survey response — 6 months, dose 2MedDRA: Vision blurred — Feeling: GoodFree text: blurry visionMedDRA releases: 2024-11 · check-in free text available
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-03 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-14 | Successful 2021-06-07 |
Participant prefers to complete VAERS report online |
| 2021-07-01 | Unsuccessful |
Free text
Release 8 — day 42, single dose
Symptoms: Now: Headachep and fatigueOriginally, ~5 days after vaccination, had a migraine that lasted almost 2 weeks. My reaction could've be exacerbated by chronic migraines. However, I've never had a migraine last that long at such a high pain level
Release 9 — 3 months, dose 1
Symptoms: Horrible outbreak of eczema in area I've never had (10+ yrs). Tho I've struggled with these for the past 2 yrs + it may be a coincidence, but I seem to have more frequent, intense migraines and having issues with vertigo and (esp) cloudy brain.
Healthcare visit (other): In office Dr visits. Note for next Qs: I've never been tested for COVID
Release 10 — day 21, dose 2
Symptoms: more non-migraine headaches; fuzzy/cloudy thinking/brain; out-of-body feeling; slightly elevated temp (99.1); more clumsy and off-balance than norm
Release 10 — day 35, dose 2
Symptoms: severe headache (migraine-like), balance issues, fatigue, extreme clumsiness, eczema outbreak may also be related to ongoing health issues and vaccine has escalated them. cataract surgery 2 weeks ago.
Release 11 — 6 months, dose 2
Symptoms: blurry vision
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 | Autoscopy | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Cataract operation | · | · | ✓ |
| SD | Clumsiness | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Eczema | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Vision blurred | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release