7UK-12480-57692
1 vaccination
4 coded responses
8 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 601 / IL
- Registered
- 2021-06-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-30
Registered in v-safe
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2021-06-30
Dose 1 — Janssen/Johnson & Johnson
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2021-06-30
Health check-in — day 0, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-07-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-07-05
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction, Muscle contractions involuntary, Muscle fatigue — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Continuous muscle fasciculations in upper arm around vaccination site, muscle fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-06
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Muscle contractions involuntary — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Fasciculations and fatigue in muscles of arm that recieved injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-14
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2021-07-21
Survey response — day 21, single doseMedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Increased fatigue, somnelenceMedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
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2021-12-29
Survey response — 6 months, dose 1MedDRA: Fatigue, Gastrointestinal disorder, Pain, Pre-existing disease, Systemic lupus erythematosus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: SLE symptom increase, more fatigue, more body pai, digestive concerns.MedDRA releases: 2024-11 · check-in free text available
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2021-12-29
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-03
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2022-01-03
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-30 | Janssen/Johnson & Johnson | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-29 | Successful 2022-01-03 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Continuous muscle fasciculations in upper arm around vaccination site, muscle fatigue
Systemic reaction (other): Fasciculations and fatigue in muscles of arm that recieved injection.
Release 9 — day 21, single dose
Symptoms: Increased fatigue, somnelence
Release 10 — 6 months, dose 1
Symptoms: SLE symptom increase, more fatigue, more body pai, digestive concerns.
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 | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Systemic lupus erythematosus | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Muscle contractions involuntary | ✓ | ✓ | ✓ |
| SRO | Muscle fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release