OpenVSafe by OpenVAERS
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XBN-84069-78040

1 vaccination 5 coded responses 7 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
582 / ND
Registered
2021-04-20
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-10
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-04-20
    Registered in v-safe
  3. 2021-04-20
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  4. 2021-04-24
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Diarrhoea, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Pain in hip, diarrhea, leg pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-01
    Survey response — day 21, single dose
    MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities
    Free text: Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-08
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  7. 2021-05-22
    Survey response — day 42, single dose
    MedDRA: Bronchitis — Feeling: Good · 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 visit
    Free text: Bronchitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-22
    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)
  9. 2021-06-01
  10. 2021-07-10
    Survey response — 3 months, dose 1
    MedDRA: Palpitations — Feeling: Fair · 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: Heart palpitation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-10
    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)
  12. 2021-07-13
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  13. 2021-10-09
    Survey response — 6 months, dose 1
    MedDRA: Palpitations — 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 · Emergency room or emergency department visit
    Free text: Heart palpitations
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-09
    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
    Emergency room or emergency department visit · 1 call case(s)
  15. 2021-10-11
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-04-10Janssen/Johnson & Johnson

Call center

ReportedOutcomeVAERS-related outcome
2021-05-22 Successful Does not wish to fill out VAERS report
2021-07-10 Successful
2021-07-13
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-09 Successful
2021-10-11
 Participant prefers to complete VAERS report online

Free text

Release 7 — day 14, dose 1

2021-04-24

Symptoms: Pain in hip, diarrhea, leg pain

Release 8 — day 21, single dose

2021-05-01

Symptoms: Diarrhea

Release 8 — day 42, single dose

2021-05-22

Symptoms: Bronchitis

Release 9 — 3 months, dose 1

2021-07-10

Symptoms: Heart palpitation

Release 10 — 6 months, dose 1

2021-10-09

Symptoms: Heart palpitations

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDBronchitis ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓

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

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