YT3-15192-66083
1 vaccination
6 coded responses
12 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 922 / CA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
YEL-24052-12907
Child or adolescent in my care · Male · 2021-10-07
Timeline
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2021-04-08
Dose 1 — Janssen/Johnson & Johnson
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2021-04-09
Registered in v-safe
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, NauseaFree text: I feel a little off balanceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-15
Survey response — day 7, dose 1MedDRA: Wheezing — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: WheezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 14, dose 1MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I've been getting numbness in my right arm & my right leg it comes and goes with pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — day 21, single doseMedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shortness of breath is happening more often nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — day 28, single doseMedDRA: Dyspnoea, Paraesthesia, Sleep disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Now I'm waking up out of my sleep because I can't breathe. It's happening more often throughout the day as well. I also have tingling in my right leg/arm. My doctor said there's nothing she can do.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Report sent to call center — day 28, single doseGet care from a doctor or other healthcare professional1 call case(s)
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-10
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2021-10-07
Survey response — 6 months, dose 1MedDRA: Ageusia, Anosmia, Dyspnoea, Feeling of body temperature change, Headache, Hyperhidrosis, Nasal congestion, Nausea, Oropharyngeal pain — 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 · Telehealth, virtual health, or email health consultationFree text: I've had stuffy nose I could not breathe well & I couldn't smell anything. I could not taste & I had a severe headache, sore throat, hot and cold sweats and nausea for 16 days.MedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-10-10
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-06 | Unsuccessful | |
| 2021-10-07 | Successful 2021-10-10 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I feel a little off balance
Release 7 — day 7, dose 1
Systemic reaction (other): Wheezing
Release 7 — day 14, dose 1
Symptoms: I've been getting numbness in my right arm & my right leg it comes and goes with pain.
Release 8 — day 21, single dose
Symptoms: Shortness of breath is happening more often now
Release 8 — day 28, single dose
Symptoms: Now I'm waking up out of my sleep because I can't breathe. It's happening more often throughout the day as well. I also have tingling in my right leg/arm. My doctor said there's nothing she can do.
Release 10 — 6 months, dose 1
Symptoms: I've had stuffy nose I could not breathe well & I couldn't smell anything. I could not taste & I had a severe headache, sore throat, hot and cold sweats and nausea for 16 days.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Feeling of body temperature change | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release