YTS-65398-18413
4 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 857 / AZ
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-15
Registered in v-safe
- 2021-04-15
- 2021-04-21
- 2021-04-26
-
2021-05-03
Survey response — day 28, single doseMedDRA: Abdominal discomfort, Abdominal distension, Diarrhoea, Flatulence, Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I ate out Sunday lunch, and have not felt well since. Bloating and loose stools all night. Feeling blah today, stomach flip flopping after i eat...more flatulenceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-17
- 2021-07-12
-
2021-10-04
Survey response — 6 months, dose 1MedDRA: COVID-19 pneumonia, Emergency care, Fatigue, Influenza, Nausea, Pyrexia, SARS-CoV-2 test positive, Sleep disorder — 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 visitFree text: I tested positive for covid on Sept 24th. Im very tired, i had a fever for a while.. i was nauseated most of the time..i went toi the ER on Sept 28th and they said i had covid lung pneumonia and influenza B..i cant sleep flat i have to sleep sitti UMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
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 · Emergency room or emergency department visit · 1 call case(s)
- 2021-10-06
-
2021-10-25
Dose 2 — Moderna
-
2021-10-31
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Myalgia — Feeling: Good · Site: Pain, Swelling · Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I rested the next day after the shot because i had fatigue and muscle achesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-24
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-02
Dose 3 — Pfizer-BioNTech
- 2022-04-25
- 2022-04-27
- 2022-05-01
- 2022-05-08
- 2022-05-14
- 2022-07-04
-
2022-09-13
Dose 4 — Pfizer-BioNTech
-
2022-09-13
Survey response — day 0, dose 4MedDRA: Product administered at inappropriate site — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The shot was given too high in my shoulderMedDRA releases: 2024-11 · check-in free text available
-
2022-09-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-09-16
- 2022-09-22
- 2022-09-29
- 2022-10-05
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Moderna | No |
| 3 | 2022-04-02 | Pfizer-BioNTech | No |
| 4 | 2022-09-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-04 | Unsuccessful |
Free text
Release 8 — day 28, single dose
Symptoms: I ate out Sunday lunch, and have not felt well since. Bloating and loose stools all night. Feeling blah today, stomach flip flopping after i eat...more flatulence
Release 9 — 6 months, dose 1
Symptoms: I tested positive for covid on Sept 24th. Im very tired, i had a fever for a while.. i was nauseated most of the time..i went toi the ER on Sept 28th and they said i had covid lung pneumonia and influenza B..i cant sleep flat i have to sleep sitti U cut off by CDC
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): I rested the next day after the shot because i had fatigue and muscle aches
Release 12 — day 0, dose 4
Systemic reaction (other): The shot was given too high in my shoulder
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 discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | COVID-19 pneumonia | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Product administered at inappropriate site | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release