Z5A-11418-95099
3 vaccinations
16 coded responses
44 check-ins
16 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 972 / OR
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-05
Registered in v-safe
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2021-03-05
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-05
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: What I'm reporting happened last night 10 hours after the injection and after the v-safe check in yesterday. When i woke up today if did not have a fever or body aches and still feel a little fatigued. I just checked and my temp is slightly elevated at 99, at 18 hours after the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Pyrexia — Feeling: Good · Fever · Fatigue or tirednessFree text: Again, i am reporting a fever from last night, after the check in. I had a slightly lower fever from the night before but it dissipated before i went to sleep so i did not take Tylenol. No body aches or chills like night before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Pyrexia — Feeling: Good · Fever · Headache, Fatigue or tirednessFree text: Again, the fever spike I reported was from last night but it dissipated before I went to sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
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2021-03-19
Survey response — day 14, dose 1MedDRA: Fatigue — Feeling: GoodFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — day 21, single doseMedDRA: Fatigue, Hypersensitivity, Malaise, Respiratory tract congestion — Feeling: FairFree text: Today I felt under the weather like I was getting sick. Congested, fatigue. Could be allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 28, single doseMedDRA: Dizziness, Fatigue, Nausea — Feeling: GoodFree text: Last Saturday March 27th I had some nausea and dizziness on saturdy and then some fatigue on Sunday. Lasted until Monday I am fine nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
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2021-04-16
Survey response — day 42, single doseMedDRA: Asthenia, Fatigue — Feeling: GoodFree text: I continue to feel tired or fatigued since the shot. Not debilitating but just noticing slightly less energy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
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2021-09-04
Survey response — 6 months, dose 1MedDRA: Respiratory tract congestion — Feeling: FairFree text: Periodically have felt congested and like I'm getting sick and after a day it passes. This has happened 2 or 3 times. Also you need to start addressing efficacy and boosters for those of us who had no choice and got J&J . We are being ignored.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-28
Dose 2 — Moderna
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2021-10-28
Survey response — day 0, dose 2MedDRA: Fatigue, Headache — Feeling: Good · Site: Redness · Headache, Fatigue or tirednessFree text: To be clear, this was my 2nd shot. I had J&J before. I had moderna this time. Headache was vague. Tiredness was vague. HeadacheMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessFree text: Since I didn't seem to mount much of a response and J&J should have been a 2 shot regimen originally , maybe we should be allowed to get a 3rd shot by having a 2nd booster of Moderna within a few months.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
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2021-11-02
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Redness · Fatigue or tirednessFree text: For those of us who took the Moderna booster after one shot of J and J , it would be a good idea to now allow us to have a second modern booster half dose which would be our 3rd shot since J & J should have been a 2 shot regimen.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
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2021-11-11
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: GoodFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
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2022-01-27
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Please allow those of us who had one J&J and then a Moderna booster to get a 3rd shot meaning a second booster of moderna so we are on equal par with everyone else who had 3 shots as you, the CDC said J&J should have been a 2 shot regimen originally.MedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Dose 3 — Moderna
- 2022-04-02
- 2022-04-03
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2022-04-04
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Delayed reaction of extreme fatigue 27 hours after shotMedDRA releases: 2024-11 · check-in free text available
- 2022-04-05
- 2022-04-06
- 2022-04-07
- 2022-04-08
- 2022-04-09
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2022-04-16
Survey response — day 14, dose 3MedDRA: Dizziness, Medical counselling, Pre-existing disease — Feeling: GoodFree text: Yesterday had an hour or so of light-headeness. Maybe related to typical low blood pressure that I have but has never lasted more than a minute. Its not likely related to the vaccine. Called advice nurse. Ran down a list. Not concerned.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
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2022-07-02
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Good · 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: CovidMedDRA releases: 2024-11 · check-in free text available
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2022-07-02
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-07-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-01
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-28 | Moderna | No |
| 3 | 2022-04-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-02 | Successful 2022-07-06 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): What I'm reporting happened last night 10 hours after the injection and after the v-safe check in yesterday. When i woke up today if did not have a fever or body aches and still feel a little fatigued. I just checked and my temp is slightly elevated at 99, at 18 hours after the shot
Systemic reaction (other): Again, i am reporting a fever from last night, after the check in. I had a slightly lower fever from the night before but it dissipated before i went to sleep so i did not take Tylenol. No body aches or chills like night before.
Systemic reaction (other): Again, the fever spike I reported was from last night but it dissipated before I went to sleep.
Release 5 — day 14, dose 1
Symptoms: Fatigue
Release 6 — day 21, single dose
Symptoms: Today I felt under the weather like I was getting sick. Congested, fatigue. Could be allergies.
Release 6 — day 28, single dose
Symptoms: Last Saturday March 27th I had some nausea and dizziness on saturdy and then some fatigue on Sunday. Lasted until Monday I am fine now
Release 7 — day 42, single dose
Symptoms: I continue to feel tired or fatigued since the shot. Not debilitating but just noticing slightly less energy.
Release 9 — 6 months, dose 1
Symptoms: Periodically have felt congested and like I'm getting sick and after a day it passes. This has happened 2 or 3 times. Also you need to start addressing efficacy and boosters for those of us who had no choice and got J&J . We are being ignored.
Release 10 — day 0, dose 2
Systemic reaction (other): To be clear, this was my 2nd shot. I had J&J before. I had moderna this time. Headache was vague. Tiredness was vague. Headache
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Since I didn't seem to mount much of a response and J&J should have been a 2 shot regimen originally , maybe we should be allowed to get a 3rd shot by having a 2nd booster of Moderna within a few months.
Systemic reaction (other): For those of us who took the Moderna booster after one shot of J and J , it would be a good idea to now allow us to have a second modern booster half dose which would be our 3rd shot since J & J should have been a 2 shot regimen.
Release 10 — day 14, dose 2
Symptoms: Fatigue
Release 11 — 3 months, dose 2
Symptoms: Please allow those of us who had one J&J and then a Moderna booster to get a 3rd shot meaning a second booster of moderna so we are on equal par with everyone else who had 3 shots as you, the CDC said J&J should have been a 2 shot regimen originally. cut off by CDC
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Delayed reaction of extreme fatigue 27 hours after shot
Release 11 — day 14, dose 3
Symptoms: Yesterday had an hour or so of light-headeness. Maybe related to typical low blood pressure that I have but has never lasted more than a minute. Its not likely related to the vaccine. Called advice nurse. Ran down a list. Not concerned.
Release 12 — 3 months, dose 3
Symptoms: Covid
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release