ER9-76923-91719

1 vaccination 9 coded responses 12 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 481 / MI
Registered: 2021-08-07

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-08-06
Dose 1 — Janssen/Johnson & Johnson
2021-08-07
Registered in v-safe
2021-08-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dry mouth,

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dry eye, Dry mouth — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dry mouth, dry eyes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Impaired work ability — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Was feeling so run down yesterday that I could not attend work

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Survey response — days 1–6 daily, dose 1
MedDRA: Oligomenorrhoea — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Prolonged bleeding Menstrual cycle

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-20
Survey response — day 14, dose 1
MedDRA: Headache, Nausea, Unevaluable event — Feeling: Good · 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: Symptoms: Severe headache, nausea. For 72 hrs. · Healthcare visit (other): Pain meds/anti inflammatory

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — day 14, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-26
Call 1 — Left Voicemail
2021-08-27
Survey response — day 21, single dose
MedDRA: Heavy menstrual bleeding, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Prolonged bleeding with period. Intermittent increased frequency of migraine headaches.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-05
Survey response — day 28, single dose
MedDRA: Heavy menstrual bleeding, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Prolonged frequent migraines. Prolonged heavy periods.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-10
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-09-17
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-11-05
Survey response — 3 months, dose 1
MedDRA: Heavy menstrual bleeding, Menstruation irregular, Migraine, Unevaluable event — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Continued daily migraine - MRI pending Prolonged bleeding shorter cycles. · Healthcare visit (other): Testing needed

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-08
Call 1 — Could Not Reach Participant
2021-11-11
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-02-07
Survey response — 6 months, dose 1
MedDRA: COVID-19, Heavy menstrual bleeding, Migraine, Unevaluable event — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: New - had covid infection just 100 days after vaccine!!! Continued migraines and heavy periods. · Healthcare visit (other): Monoclonal antibody infusion

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-06	Janssen/Johnson & Johnson	No

Call center

3 call center cases

1 successful · 2 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-07

Systemic reaction (other): Dry mouth,

2021-08-08

Systemic reaction (other): Dry mouth, dry eyes

2021-08-11

Systemic reaction (other): Was feeling so run down yesterday that I could not attend work

2021-08-12

Systemic reaction (other): Prolonged bleeding Menstrual cycle

Release 9 — day 14, dose 1

2021-08-20

Symptoms: Severe headache, nausea. For 72 hrs.

Healthcare visit (other): Pain meds/anti inflammatory

Release 9 — day 21, single dose

2021-08-27

Symptoms: Prolonged bleeding with period. Intermittent increased frequency of migraine headaches.

Release 9 — day 28, single dose

2021-09-05

Symptoms: Prolonged frequent migraines. Prolonged heavy periods.

Release 10 — 3 months, dose 1

2021-11-05

Symptoms: Continued daily migraine - MRI pending Prolonged bleeding shorter cycles.

Healthcare visit (other): Testing needed

Release 11 — 6 months, dose 1

2022-02-07

Symptoms: New - had covid infection just 100 days after vaccine!!! Continued migraines and heavy periods.

Healthcare visit (other): Monoclonal antibody infusion

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	COVID-19	·	·	✓
SD	Headache	✓	·	✓
SD	Heavy menstrual bleeding	✓	·	✓
SD	Menstruation irregular	·	·	✓
SD	Migraine	✓	·	✓
SD	Nausea	✓	·	✓
SRO	Dry eye	✓	·	✓
SRO	Dry mouth	✓	·	✓
SRO	Fatigue	✓	·	✓
SRO	Impaired work ability	✓	·	✓
SRO	Oligomenorrhoea	✓	·	✓

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