P65-11760-66051

1 vaccination 7 coded responses 13 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 773 / TX
Registered: 2021-04-09

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

2021-04-06
Dose 1 — Janssen/Johnson & Johnson
2021-04-09
Registered in v-safe
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Gait disturbance, Impaired driving ability, Vertigo — Feeling: Poor · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Nausea · Be unable to work, 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: Vertigo couldnt drive a car or walk a lot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Good · Site: Pain · Joint pains

Free text: Vertigo is much better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Joint pains

Free text: Underarm still sore on vaccine arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 21, single dose
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache lasting 8 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 35, single dose
MedDRA: Blood pressure decreased, Emergency care, Loss of consciousness, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Low blood pressure drop that made me pass out and get taken to the ER.Currently undergoing ultrasound of heart and echocardiogram at cardiologist office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 35, single dose
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Survey response — day 42, single dose
MedDRA: Cardiac disorder, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Have heart monitor after reviewing echocardiogram results that I have water around my heart. Never had any heart issues until Covid and Johnson and Johnson vaccine. Now have heart issues · Healthcare visit (other): Cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 42, single dose
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Call 1 — Left Voicemail
2021-07-06
Survey response — 3 months, dose 1
MedDRA: Pericardial effusion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Diagnosis is moderate pericardial effusion. Under care of cardiologist and have never had any issues with heart before J and J vaccine. Also no menstruation since vaccine and used to have one

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-10-07
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-04-06
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Janssen/Johnson & Johnson

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Vertigo couldnt drive a car or walk a lot

2021-04-10

Systemic reaction (other): Vertigo is much better today

2021-04-11

Systemic reaction (other): Underarm still sore on vaccine arm.

Release 8 — day 21, single dose

2021-04-27

Symptoms: Headache lasting 8 hours

Release 8 — day 35, single dose

2021-05-11

Symptoms: Low blood pressure drop that made me pass out and get taken to the ER.Currently undergoing ultrasound of heart and echocardiogram at cardiologist office

Release 8 — day 42, single dose

2021-05-18

Symptoms: Have heart monitor after reviewing echocardiogram results that I have water around my heart. Never had any heart issues until Covid and Johnson and Johnson vaccine. Now have heart issues

Healthcare visit (other): Cardiologist

Release 9 — 3 months, dose 1

2021-07-06

Symptoms: Diagnosis is moderate pericardial effusion. Under care of cardiologist and have never had any issues with heart before J and J vaccine. Also no menstruation since vaccine and used to have one

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	Blood pressure decreased	✓	✓	✓
SD	Cardiac disorder	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Loss of consciousness	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pericardial effusion	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Impaired driving ability	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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