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79U-31920-42691

1 vaccination 3 coded responses 14 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
430 / OH
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-03-06
    Registered in v-safe
  3. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Diarrhea
    Free text: NASH stage 4 cirrhosis, enlarged liver and spleen, pancrease is atrophic and fatty and Ehlers Danlos Syndrome
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ehlers-Danlos syndrome, Hepatic cirrhosis, Hepatomegaly, Migraine, Non-alcoholic steatohepatitis, Pancreatic atrophy, Pancreatic steatosis, Pre-existing disease, Splenomegaly — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Free text: NASH stage 4 liver cirrhosis, enlarged liver and spleen, pancrease is atrophic and fatty, and Ehlers Danlos Syndrome. Also have migraine headaches and take Ajovy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea, Abdominal pain
    Adult check-in
  7. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  8. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Adult check-in
  9. 2021-03-12
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  10. 2021-03-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-28
    Health check-in — day 21, single dose
    Feeling: Fair
    Adult check-in
  12. 2021-04-02
    Health check-in — day 28, single dose
    Feeling: Fair
    Adult check-in
  13. 2021-04-09
    Health check-in — day 35, single dose
    Feeling: Fair
    Adult check-in
  14. 2021-04-16
    Health check-in — day 42, single dose
    Feeling: Fair
    Adult check-in
  15. 2021-06-04
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  16. 2022-03-05
    Survey response — 12 months, dose 1
    MedDRA: COVID-19, Cough, Nausea, Pain, Sinusitis — Feeling: Fair · 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: More nausea, pain and sinus infection. I also am coughing more since having covid again in February.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-03-05
    Report sent to call center — 12 months, dose 1
    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 · 1 call case(s)
  18. 2022-03-08
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Janssen/Johnson & Johnson

Call center

ReportedOutcomeVAERS-related outcome
2022-03-05 Successful
2022-03-08
Participant prefers to complete VAERS report online

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): NASH stage 4 cirrhosis, enlarged liver and spleen, pancrease is atrophic and fatty and Ehlers Danlos Syndrome

2021-03-08

Systemic reaction (other): NASH stage 4 liver cirrhosis, enlarged liver and spleen, pancrease is atrophic and fatty, and Ehlers Danlos Syndrome. Also have migraine headaches and take Ajovy.

Release 11 — 12 months, dose 1

2022-03-05

Symptoms: More nausea, pain and sinus infection. I also am coughing more since having covid again in February.

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
SDCough · · ✓
SDCOVID-19 · · ✓
SDNausea · · ✓
SDPain · · ✓
SDSinusitis · · ✓
SROEhlers-Danlos syndrome ○ ✓ ○
SROHepatic cirrhosis ○ ✓ ○
SROHepatomegaly ○ ✓ ○
SROMigraine ○ ✓ ○
SRONon-alcoholic steatohepatitis ○ ✓ ○
SROPancreatic atrophy ○ ✓ ○
SROPancreatic steatosis ○ ✓ ○
SROPre-existing disease ✓ ✓ ✓
SROSplenomegaly ○ ✓ ○

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