Y6R-23227-75282
4 vaccinations
8 coded responses
30 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 054 / VT
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: injection site is tender to touch only , but no discomfort otherwiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-12
-
2021-04-13
Survey response — day 7, dose 1MedDRA: Adverse reaction — Feeling: GoodFree text: All the symptoms that I have had throughout the week have been very very short-lived, an hour or soMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-27
- 2021-05-04
-
2021-05-11
Survey response — day 35, single doseMedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Extreme fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — day 42, single doseMedDRA: Fatigue, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Very run down and severe but short-lived sore throat. Got tested for Covid and was negative. I feel fine now.I pretty much continued with normal activities but had to nap, and also had to cancel family visit because of fatigue and sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-06
-
2021-10-05
Survey response — 6 months, dose 1MedDRA: Diarrhoea, Rhinorrhoea — Feeling: GoodFree text: loose bowels, runny nose (about 2 weeks) both symptoms pretty mildMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Dose 2 — Pfizer-BioNTech
- 2022-04-06
-
2022-04-21
Dose 3 — Pfizer-BioNTech
-
2022-10-19
Dose 4 — Pfizer-BioNTech
-
2022-10-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-11-02
- 2022-11-09
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2022-11-19
Survey response — day 28, dose 4MedDRA: Fatigue, Somnolence — Feeling: FairFree text: All along I have been saying that I have been fine but since I had the vaccine I'm far more tired than usual. I've also been sleeping a lot more. May be unrelated to the vaccine, and there are no other symptoms, but tiredness has been consistent.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-23
- 2022-11-30
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2023-01-18
Survey response — 3 months, dose 4MedDRA: Chills, Feeling abnormal, Influenza like illness, Mobility decreased, Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-04-19
Survey response — 6 months, dose 4MedDRA: Hospitalisation, Kidney infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
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2023-04-19
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-07 | Pfizer-BioNTech | No |
| 3 | 2022-04-21 | Pfizer-BioNTech | No |
| 4 | 2022-10-19 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-19 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): injection site is tender to touch only , but no discomfort otherwise
Release 7 — day 7, dose 1
Systemic reaction (other): All the symptoms that I have had throughout the week have been very very short-lived, an hour or so
Release 8 — day 35, single dose
Symptoms: Extreme fatigue
Release 8 — day 42, single dose
Symptoms: Very run down and severe but short-lived sore throat. Got tested for Covid and was negative. I feel fine now.I pretty much continued with normal activities but had to nap, and also had to cancel family visit because of fatigue and sore throat.
Release 10 — 6 months, dose 1
Symptoms: loose bowels, runny nose (about 2 weeks) both symptoms pretty mild
Release 12 — day 28, dose 4
Symptoms: All along I have been saying that I have been fine but since I had the vaccine I'm far more tired than usual. I've also been sleeping a lot more. May be unrelated to the vaccine, and there are no other symptoms, but tiredness has been consistent.
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 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Kidney infection | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release