6T7-51340-51710

3 vaccinations 6 coded responses 32 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 956 / CA
Registered: 2021-03-14

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1131062 (opens in a new window)	high	11 / 11	7	2 of 3 VAERS symptoms	same dose (1)	CA matches	2021-03-14 / 2021-03-17 / 2021-03-24 received the same day as the last call	case 374200

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

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

2021-03-14
Registered in v-safe
2021-03-14
Dose 1 — Janssen/Johnson & Johnson
2021-03-14
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-21
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: If theres no improvement by tomorrow my physician wants to see me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Call 1 — Left Voicemail
2021-03-24
Call successful
Completed over the phone
2021-03-29
Survey response — day 14, dose 1
MedDRA: Diarrhoea — Feeling: Fair

Free text: I have constant diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 21, single dose
MedDRA: Diverticulitis, Emergency care — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: I developed diverticulitis. I had a CT scan on 3/31 and its so bad Im at the ER right now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Report sent to call center — day 21, single dose
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Health check-in — day 28, single dose
Feeling: Fair

Adult check-in
2021-04-19
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-06-13
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-12
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-10-29
Dose 2 — Janssen/Johnson & Johnson
Co-administered: Flu
2021-10-29
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-11-19
Survey response — day 21, dose 2
MedDRA: Fatigue, Pain, Surgery — Feeling: Fair

Free text: I have constant fatigue and severe body aches. I don't think it's related to my recovery from surgery bcuz it is not at the surgical site.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 42, dose 2
MedDRA: Diverticulitis, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I had a flare-up of diverticulitis. I don't know if it is related or not. I also had one in April, shortly after my vaccination in March

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2021-12-15
Call successful
Reported to VAERS during previous contact from GDIT
2022-01-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-04-29
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-04
Dose 3 — Moderna
2022-05-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Janssen/Johnson & Johnson
2	2021-10-29	Janssen/Johnson & Johnson	Flu
3	2022-05-04	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-14

Systemic reaction (other): No

Release 6 — day 7, dose 1

2021-03-21

Healthcare visit (other): If theres no improvement by tomorrow my physician wants to see me

Release 6 — day 14, dose 1

2021-03-29

Symptoms: I have constant diarrhea

Release 6 — day 21, single dose

2021-04-04

Symptoms: I developed diverticulitis. I had a CT scan on 3/31 and its so bad Im at the ER right now

Release 10 — day 21, dose 2

2021-11-19

Symptoms: I have constant fatigue and severe body aches. I don't think it's related to my recovery from surgery bcuz it is not at the surgical site.

Release 10 — day 42, dose 2

2021-12-10

Symptoms: I had a flare-up of diverticulitis. I don't know if it is related or not. I also had one in April, shortly after my vaccination in March

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	Unevaluable event	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Diverticulitis	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Surgery	·	·	✓
SRO	No adverse event	✓	✓	✓

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