FGP-21001-82267
1 vaccination
5 coded responses
11 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 187 / PA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to workFree text: Itching of upper body, chest, arms, back, stomach, neck without visible rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
-
2021-03-19
Call successfulParticipant prefers to complete VAERS report online
- 2021-03-20
- 2021-03-24
- 2021-03-31
-
2021-04-07
Survey response — day 21, single doseMedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Oral herpes — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Feel like I have a cold. Congested nose, tired, got a fever blister on my mouth and I get them when im sick or getting sick.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 21, single doseBe unable to do your normal daily activities1 call case(s)
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2021-04-12
Survey response — day 28, single doseMedDRA: Dizziness, Palpitations, Pre-existing disease — Feeling: Poor · Be unable to workFree text: Worsening heart palpitations, (I have MVP) and dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-26
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2021-06-14
Survey response — 3 months, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-03-17
Survey response — 12 months, dose 1MedDRA: COVID-19, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Covid, FatigueMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Janssen/Johnson & Johnson |
Call center
3 call center cases
1 successful · 2 priority 2/3 (triaged and no follow up)
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Itching of upper body, chest, arms, back, stomach, neck without visible rash.
Release 7 — day 21, single dose
Symptoms: Feel like I have a cold. Congested nose, tired, got a fever blister on my mouth and I get them when im sick or getting sick.
Release 7 — day 28, single dose
Symptoms: Worsening heart palpitations, (I have MVP) and dizziness.
Release 9 — 3 months, dose 1
Symptoms: Joint pain
Release 11 — 12 months, dose 1
Symptoms: Covid, Fatigue
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release