YNU-16533-80406

2 vaccinations 14 coded responses 20 check-ins 14 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 238 / VA
Registered: 2021-03-13

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

2021-03-12
Dose 1 — Janssen/Johnson & Johnson
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: The headache comes in waves and it hits very hard.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Weird tingling in my upper leg and hip area. Its like chills but tingle ..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Diarrhea

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Paraesthesia — Feeling: Good

Free text: The weird tingling is back on my right hip, it has been doing this on and off and its weird only in 1 spot. No other area have the chills or tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Good

Free text: The tingling in my hip is still here.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 1
MedDRA: Paraesthesia — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The tingling is still here in the same spot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 14, dose 1
MedDRA: Fatigue, Hypersomnia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Im exhausted.. im sleeping 13 to 14 hours a day. Slight chest congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-04-09
Survey response — day 28, single dose
MedDRA: Diarrhoea, Nerve compression, Paraesthesia, Stomatitis — 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

Free text: The tingling of the nerves on my hip are still going on, still have direra and mybtongue still has sores on it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 28, single dose
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 35, single dose
MedDRA: Headache, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Breathing issues, sever headaches, tingling in my butt. Hes doing blood work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 35, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 42, single dose
MedDRA: Abdominal pain upper, Headache, Hypothyroidism, Paraesthesia — 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

Free text: My thyroid numbers now have me in hypothyroid, stomachache, headaches, the tingling sensation in my right butock is still there. I jad a virtual appointment with my dr again. The J &J vacine has been a nightmare. Im worse now than before the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
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)
2021-05-05
Call successful
Participant prefers to complete VAERS report online
2021-06-13
Survey response — 3 months, dose 1
MedDRA: Bronchitis, Dyspnoea, Emergency care, Oxygen saturation decreased, Pre-existing disease, Thyroid function test abnormal — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Im in my second round of bronchitis. Diverticulitis is still bad im now on an inhaler, antibiotics nebulizer and prednisone. My thyroid levels are still way off. I have been to the er once already due to not being able to breath. My o2 80/90

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Report sent to call center — 3 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)
2021-06-15
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-09-10
Survey response — 6 months, dose 1
MedDRA: Asthenia, Bronchitis, Candida infection, Dyspnoea, Immunodeficiency, Thyroid function test abnormal — Feeling: Poor · 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

Free text: Shortness of breath,5 bouts of bronchitis, new inhaler,on a nebulizer x 4 hrs,thrush, on steroids, excessive lack of energy, im no hypothyroidism, have to see a endocrinologist, cant get thynumbers back to normal, im now immune compromised,

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Could Not Reach Participant
2021-09-16
Call successful
Completed over the phone
2021-12-09
Dose 2 — Pfizer-BioNTech
2021-12-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-12-13
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-12-14
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-14
Call 1 — Left Voicemail
2021-12-16
Health check-in — day 7, dose 2
Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-23
Survey response — day 14, dose 2
MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migrane

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — day 21, dose 2
MedDRA: Aphasia, Hypothyroidism, Medical counselling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Im forgetting words again, i spoke to my endocrinologist and she wants me ro have my thyroid numbers checked. The last time i had th2 covid vacine it sent me into hypothyroidism. It took 9 months to gete back to normal.

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Gastrointestinal pain, Headache, Pain, Sinus pain, Somnolence — Feeling: Poor · Be unable to do your normal daily activities

Free text: Runny poop, body aches, major sleep. Stomach pain. Intestinal pain. Headache that pulses. Sinus pain.Can not find a covid test site, no avaliable appointments for covid test. Im not leaving my house .. still looking for a testing center or test....

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Janssen/Johnson & Johnson
2	2021-12-09	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-09	Successful	Participant prefers to complete VAERS report online
2021-04-16	Successful	Participant prefers to complete VAERS report online
2021-04-23	Successful 2021-05-05	Participant prefers to complete VAERS report online
2021-06-13	Successful 2021-06-15	Reported to VAERS voluntarily prior to GDIT contact
2021-09-10	Successful 2021-09-16	Completed over the phone
2021-12-13	Unsuccessful
2021-12-14	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): The headache comes in waves and it hits very hard.

2021-03-14

Systemic reaction (other): Weird tingling in my upper leg and hip area. Its like chills but tingle ..

2021-03-17

Systemic reaction (other): The weird tingling is back on my right hip, it has been doing this on and off and its weird only in 1 spot. No other area have the chills or tingling

2021-03-18

Systemic reaction (other): The tingling in my hip is still here.

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): The tingling is still here in the same spot.

Release 6 — day 14, dose 1

2021-03-26

Symptoms: Im exhausted.. im sleeping 13 to 14 hours a day. Slight chest congestion.

Release 7 — day 28, single dose

2021-04-09

Symptoms: The tingling of the nerves on my hip are still going on, still have direra and mybtongue still has sores on it.

Release 7 — day 35, single dose

2021-04-16

Symptoms: Breathing issues, sever headaches, tingling in my butt. Hes doing blood work.

Release 7 — day 42, single dose

2021-04-23

Symptoms: My thyroid numbers now have me in hypothyroid, stomachache, headaches, the tingling sensation in my right butock is still there. I jad a virtual appointment with my dr again. The J &J vacine has been a nightmare. Im worse now than before the shot. cut off by CDC

Release 9 — 3 months, dose 1

2021-06-13

Symptoms: Im in my second round of bronchitis. Diverticulitis is still bad im now on an inhaler, antibiotics nebulizer and prednisone. My thyroid levels are still way off. I have been to the er once already due to not being able to breath. My o2 80/90

Release 9 — 6 months, dose 1

2021-09-10

Symptoms: Shortness of breath,5 bouts of bronchitis, new inhaler,on a nebulizer x 4 hrs,thrush, on steroids, excessive lack of energy, im no hypothyroidism, have to see a endocrinologist, cant get thynumbers back to normal, im now immune compromised,

Release 10 — day 14, dose 2

2021-12-23

Symptoms: Migrane

Release 10 — day 21, dose 2

2021-12-30

Symptoms: Im forgetting words again, i spoke to my endocrinologist and she wants me ro have my thyroid numbers checked. The last time i had th2 covid vacine it sent me into hypothyroidism. It took 9 months to gete back to normal.

Release 10 — day 35, dose 2

2022-01-15

Symptoms: Runny poop, body aches, major sleep. Stomach pain. Intestinal pain. Headache that pulses. Sinus pain.Can not find a covid test site, no avaliable appointments for covid test. Im not leaving my house .. still looking for a testing center or test.... cut off by CDC

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	Abdominal pain upper	✓	✓	✓
SD	Aphasia	·	·	✓
SD	Asthenia	·	·	✓
SD	Bronchitis	✓	✓	✓
SD	Candida infection	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Hypothyroidism	✓	✓	✓
SD	Immunodeficiency	·	·	✓
SD	Medical counselling	·	·	✓
SD	Migraine	·	·	✓
SD	Nerve compression	✓	✓	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Pain	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus pain	·	·	✓
SD	Somnolence	·	·	✓
SD	Stomatitis	✓	✓	✓
SD	Thyroid function test abnormal	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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