VB8-20676-10585 · OpenVSafe

Timeline

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Janssen/Johnson & Johnson
2021-04-02
Survey response — day 0, dose 1
MedDRA: Immediate post-injection reaction, Syncope — Feeling: Good · Site: Pain · Diarrhea

Free text: Almost fainted after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 7, dose 1
MedDRA: Dyspepsia, Gastrooesophageal reflux disease — Feeling: Fair

Free text: Indegestion and acid reflux. Not typical for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 1
MedDRA: Cough, Productive cough, Rhinorrhoea — Feeling: Good

Free text: Started as a stuffy and runny nose, then turned into a dry cough, then a cough with production. My whole family got it. It started with me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-01
Survey response — 6 months, dose 1
MedDRA: Dizziness, Ear infection, Loss of consciousness — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Ear infection, dizzy, passed out 4 times

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
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 · Emergency room or emergency department visit · 1 call case(s)
2021-10-04
Call 1 — Could Not Reach Participant
2021-10-07
Call 2 — Left Voicemail
2022-04-02
Survey response — 12 months, dose 1
MedDRA: Abortion spontaneous, Surgery — 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

Free text: Symptoms: 2 miscarriages · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
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

1 call case(s)
2022-04-04
Call 1 — Could Not Reach Participant
2022-04-07
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Janssen/Johnson & Johnson

Call center

Reported	Outcome	VAERS-related outcome
2021-10-01	Unsuccessful
2022-04-02	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-04-02

Systemic reaction (other): Almost fainted after shot

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Indegestion and acid reflux. Not typical for me.

Release 9 — 3 months, dose 1

2021-07-02

Symptoms: Started as a stuffy and runny nose, then turned into a dry cough, then a cough with production. My whole family got it. It started with me.

Release 9 — 6 months, dose 1

2021-10-01

Symptoms: Ear infection, dizzy, passed out 4 times

Release 11 — 12 months, dose 1

2022-04-02

Symptoms: 2 miscarriages

Healthcare visit (other): Surgery

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	Surgery	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Ear infection	·	·	✓
SD	Loss of consciousness	·	·	✓
SD	Productive cough	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Syncope	✓	✓	✓

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