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
-
2021-03-05
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-06
Registered in v-safe
- 2021-03-06
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · DiarrheaFree text: NASH stage 4 cirrhosis, enlarged liver and spleen, pancrease is atrophic and fatty and Ehlers Danlos SyndromeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: 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 painFree 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
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
-
2021-03-12
Health check-in — day 7, dose 1Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
- 2021-03-19
- 2021-03-28
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
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2022-03-05
Survey response — 12 months, dose 1MedDRA: 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 visitFree 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
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2022-03-05
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2022-03-08
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-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
Systemic reaction (other): NASH stage 4 cirrhosis, enlarged liver and spleen, pancrease is atrophic and fatty and Ehlers Danlos Syndrome
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Ehlers-Danlos syndrome | ○ | ✓ | ○ |
| SRO | Hepatic cirrhosis | ○ | ✓ | ○ |
| SRO | Hepatomegaly | ○ | ✓ | ○ |
| SRO | Migraine | ○ | ✓ | ○ |
| SRO | Non-alcoholic steatohepatitis | ○ | ✓ | ○ |
| SRO | Pancreatic atrophy | ○ | ✓ | ○ |
| SRO | Pancreatic steatosis | ○ | ✓ | ○ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Splenomegaly | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release