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8YJ-67910-37512

2 vaccinations 18 coded responses 25 check-ins 18 free-text entries 3 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
945 / CA
Registered
2021-04-10
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-08
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-04-10
    Registered in v-safe
  3. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Chest pain, Neuralgia — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: noticed lie on bed at end of day first left toe and fingers nerve pain. joint pain chest pain briefly yesterday climbing hill noticed today right upper chest pain briefly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: shortness of breath at night yesterday morning ok
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness
    Free text: occasional lightheadness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Dizziness, Head discomfort, Tenderness — Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site
    Free text: left lower leg tender for a period of time, knee joint sore on and off,right index finger joint sore lightheadness,side of head felt heavy feeling toward end of day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Muscular weakness — Feeling: Fair · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site
    Free text: right side leg feel weak for short while reoccur knee joint pain on and off
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-15
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Limb discomfort, Vibratory sense increased — Feeling: Fair · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site
    Free text: vibration feeling on lower leg as similar to cell phone vibration a few time today.knee joint sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-22
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain lower — Feeling: Fair
    Free text: 11days after vaccination noticed sharp pain briefly on lower right abdominal area 3 times
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-29
    Survey response — day 21, single dose
    MedDRA: Abdominal pain — Feeling: Fair
    Free text: notice one time abdoman sharp pain briefly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-06
    Survey response — day 28, single dose
    MedDRA: Arthralgia, Musculoskeletal stiffness — Feeling: Fair
    Free text: noticed left lower leg tight left knee joint tender
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-13
    Health check-in — day 35, single dose
    Feeling: Fair
    Adult check-in
  13. 2021-05-20
    Health check-in — day 42, single dose
    Feeling: Fair
    Adult check-in
  14. 2021-07-08
    Survey response — 3 months, dose 1
    MedDRA: Rash erythematous — Feeling: Good
    Free text: notice one red rash
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-11-08
    Dose 2 — Moderna
  16. 2021-11-08
    Survey response — day 0, dose 2
    MedDRA: Abdominal discomfort, Dyspnoea, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches
    Free text: sob and have sensation around stomache ateatransiently within 15 min of shot
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-11-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  18. 2021-11-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia — Feeling: Fair
    Free text: tingling sensation at the back
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-11-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nervous system disorder — Feeling: Fair · Headache
    Free text: nerve sensation
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-11-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Neuropathy peripheral — Feeling: Fair · Rash, not including the immediate area around the injection site
    Free text: lower left leg nerve tenderness
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-16
    Health check-in — day 7, dose 2
    Feeling: Fair · Rash, not including the immediate area around the injection site
    Adult check-in
  22. 2021-11-22
    Survey response — day 14, dose 2
    MedDRA: Erythema, Pruritus, Skin swelling — Feeling: Fair
    Free text: itchy raised red spots on side of abdomen and thighs.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-30
    Survey response — day 21, dose 2
    MedDRA: Arthropod bite, Erythema, Pruritus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: itchy red insect like bites around abdomen thigh · Healthcare visit (other): make office visit
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-11-30
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-12-02
  26. 2021-12-07
    Survey response — day 28, dose 2
    MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: rash insect like spot
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-12-07
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  28. 2021-12-10
    Call successful
    Participant prefers to complete VAERS report online
  29. 2021-12-13
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  30. 2021-12-20
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  31. 2022-02-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-05-10
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Cough, Fatigue, Pain, Tenderness — 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 consultation
    Free text: extreme fatigue joint tenderness body sore cough with tenderness
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-05-10
    Report sent to call center — 6 months, 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
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  34. 2022-05-11

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Janssen/Johnson & Johnson
22021-11-08Moderna No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): noticed lie on bed at end of day first left toe and fingers nerve pain. joint pain chest pain briefly yesterday climbing hill noticed today right upper chest pain briefly

2021-04-11

Systemic reaction (other): shortness of breath at night yesterday morning ok

2021-04-12

Systemic reaction (other): occasional lightheadness

2021-04-13

Systemic reaction (other): left lower leg tender for a period of time, knee joint sore on and off,right index finger joint sore lightheadness,side of head felt heavy feeling toward end of day

2021-04-14

Systemic reaction (other): right side leg feel weak for short while reoccur knee joint pain on and off

Release 7 — day 7, dose 1

2021-04-15

Systemic reaction (other): vibration feeling on lower leg as similar to cell phone vibration a few time today.knee joint sore

Release 7 — day 14, dose 1

2021-04-22

Symptoms: 11days after vaccination noticed sharp pain briefly on lower right abdominal area 3 times

Release 8 — day 21, single dose

2021-04-29

Symptoms: notice one time abdoman sharp pain briefly

Release 8 — day 28, single dose

2021-05-06

Symptoms: noticed left lower leg tight left knee joint tender

Release 9 — 3 months, dose 1

2021-07-08

Symptoms: notice one red rash

Release 10 — day 0, dose 2

2021-11-08

Systemic reaction (other): sob and have sensation around stomache ateatransiently within 15 min of shot

Release 10 — days 1–6 daily, dose 2

2021-11-11

Systemic reaction (other): tingling sensation at the back

2021-11-13

Systemic reaction (other): nerve sensation

2021-11-14

Systemic reaction (other): lower left leg nerve tenderness

Release 10 — day 14, dose 2

2021-11-22

Symptoms: itchy raised red spots on side of abdomen and thighs.

Release 10 — day 21, dose 2

2021-11-30

Symptoms: itchy red insect like bites around abdomen thigh
Healthcare visit (other): make office visit

Release 10 — day 28, dose 2

2021-12-07

Symptoms: rash insect like spot

Release 11 — 6 months, dose 2

2022-05-10

Symptoms: extreme fatigue joint tenderness body sore cough with tenderness

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
HCVOUnevaluable event · · ✓
SDAbdominal pain ✓ ✓ ✓
SDAbdominal pain lower ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDArthropod bite · · ✓
SDCough · · ✓
SDErythema · · ✓
SDFatigue · · ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDPain · · ✓
SDPruritus · · ✓
SDRash · · ✓
SDRash erythematous ✓ ✓ ✓
SDSkin swelling · · ✓
SDTenderness · · ✓
SROAbdominal discomfort · · ✓
SROArthralgia ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROImmediate post-injection reaction · · ✓
SROLimb discomfort ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SRONervous system disorder · · ✓
SRONeuralgia ✓ ✓ ✓
SRONeuropathy peripheral · · ✓
SROParaesthesia · · ✓
SROTenderness ✓ ✓ ✓
SROVibratory sense increased ✓ ✓ ✓

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

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