WVL-22962-87046
1 vaccination
4 coded responses
6 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 605 / IL
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-24
Registered in v-safe
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2021-04-24
Survey response — day 14, dose 1MedDRA: Chills, Diarrhoea, Headache, Migraine, Pain, Pyrexia — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: The first 5 days I had fever, chills, aching body and headache. For the next 12 days I have had severe diarrhea and severe migraine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-29
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2021-05-05
Survey response — day 28, single doseMedDRA: Migraine — Feeling: Poor · Be unable to work, 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 visitFree text: MigrainesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — day 28, single doseBe unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-12
Survey response — day 35, single doseMedDRA: Headache, Migraine, Specialist consultation — Feeling: Poor · 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 visitFree text: Symptoms: Severe migraine and headaches. · Healthcare visit (other): Seeing a neurologist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Report sent to call center — day 35, single doseBe unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-19
Survey response — day 42, single doseMedDRA: Headache, Migraine — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Migraines and headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Report sent to call center — day 42, single doseBe unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-25
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-24 | Successful | Participant prefers to complete VAERS report online |
| 2021-05-05 | Successful | Participant prefers to complete VAERS report online |
| 2021-05-12 | Successful | Participant prefers to complete VAERS report online |
| 2021-05-19 | Successful 2021-05-25 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — day 14, dose 1
Symptoms: The first 5 days I had fever, chills, aching body and headache. For the next 12 days I have had severe diarrhea and severe migraine.
Release 8 — day 28, single dose
Symptoms: Migraines
Release 8 — day 35, single dose
Release 8 — day 42, single dose
Symptoms: Migraines and headaches
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 | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release