HAW-19725-16291

1 vaccination 6 coded responses 16 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 685 / NE
Registered: 2021-03-13

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
2021-03-13
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort, Musculoskeletal pain, Pruritus, Sleep disorder — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: My shoulder blade is achy sometimes and itchy others . Same side shot was given. Discomfort over night on that side disrupted sleep. So far no big deal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness

Free text: Ive had difficulty sleeping through the night since the shot not exactly sure why

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-10
Survey response — day 28, single dose
MedDRA: Lymphadenopathy, Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: In the past few days I have experienced a moderate to severe scalp rash and a slightly swollen cervical lymph node. Currently using t gel and seeing dermatologist Thursday. No idea if its vaccine related. · Healthcare visit (other): Dermatologist and regular practitioner

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 28, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Call 1 — Left Voicemail
2021-04-17
Survey response — day 35, single dose
MedDRA: Folliculitis, Lymphadenopathy, Office visit, Psoriasis, Weight decreased — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have a psoriasis outbreak on scalp, swollen lymph nodes, fatigue, weight loss and folliculitis · Healthcare visit (other): Regular doctor in person and dermatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 35, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Call 1 — Left Voicemail
2021-04-25
Survey response — day 42, single dose
MedDRA: Office visit, Psoriasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Increase in supposed scalp psoriasis · Healthcare visit (other): Regular doctor and dermatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Report sent to call center — day 42, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-12
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-09-11
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-03-13
Survey response — 12 months, dose 1
MedDRA: Cough, Viral infection — 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: My son and I currently have a very strong viral illness and a cough . It was highly contagious amongst the kids I work with .

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-14
Call 1 — Left Voicemail
2022-03-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Janssen/Johnson & Johnson

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): My shoulder blade is achy sometimes and itchy others . Same side shot was given. Discomfort over night on that side disrupted sleep. So far no big deal

2021-03-15

Systemic reaction (other): Ive had difficulty sleeping through the night since the shot not exactly sure why

Release 7 — day 28, single dose

2021-04-10

Symptoms: In the past few days I have experienced a moderate to severe scalp rash and a slightly swollen cervical lymph node. Currently using t gel and seeing dermatologist Thursday. No idea if its vaccine related.

Healthcare visit (other): Dermatologist and regular practitioner

Release 7 — day 35, single dose

2021-04-17

Symptoms: I have a psoriasis outbreak on scalp, swollen lymph nodes, fatigue, weight loss and folliculitis

Healthcare visit (other): Regular doctor in person and dermatologist

Release 7 — day 42, single dose

2021-04-25

Symptoms: Increase in supposed scalp psoriasis

Healthcare visit (other): Regular doctor and dermatologist

Release 11 — 12 months, dose 1

2022-03-13

Symptoms: My son and I currently have a very strong viral illness and a cough . It was highly contagious amongst the kids I work with .

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	Office visit	✓	✓	✓
SD	Cough	·	·	✓
SD	Folliculitis	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Psoriasis	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Viral infection	·	·	✓
SD	Weight decreased	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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