Z5L-40295-75775

2 vaccinations 5 coded responses 27 check-ins 5 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 222 / VA
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Janssen/Johnson & Johnson
2021-04-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hives persisting for two weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 28, single dose
MedDRA: Medical counselling, Urticaria — Feeling: Fair

Free text: Still have hives after all this time. I've never had hives in my life until now. They are on my arms, legs, hands, and back. Only a few in each place. Some fade, but new ones continue to appear. Doctor gave triamcinolone acetonide for symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Call 1 — Left Voicemail
2021-05-10
Call successful
Participant prefers to complete VAERS report online
2021-05-11
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-07-06
Survey response — 3 months, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chronic Idiopathic Urticaria - still going after all this time. Started the day after the vaccine. An allergist prescribed montelukast sodium and going to see her to discuss blood test results this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call 1 — Left Voicemail
2021-10-05
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-29
Dose 2 — Pfizer-BioNTech
2021-11-01
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Office visit

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-03
Call 1 — Left Voicemail
2021-11-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-26
Survey response — day 28, dose 2
MedDRA: Urticaria — Feeling: Good

Free text: Hives - had them since my first vaccine back in April, but they've intensified again. No idea ofv it is related to the booster.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-29
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-10-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Janssen/Johnson & Johnson
2	2021-10-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Successful 2021-05-10	Participant prefers to complete VAERS report online
2021-07-06	Unsuccessful
2021-11-01	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Hives persisting for two weeks

Release 8 — day 28, single dose

2021-05-04

Symptoms: Still have hives after all this time. I've never had hives in my life until now. They are on my arms, legs, hands, and back. Only a few in each place. Some fade, but new ones continue to appear. Doctor gave triamcinolone acetonide for symptoms.

Release 9 — 3 months, dose 1

2021-07-06

Symptoms: Chronic Idiopathic Urticaria - still going after all this time. Started the day after the vaccine. An allergist prescribed montelukast sodium and going to see her to discuss blood test results this week.

Release 10 — days 1–6 daily, dose 2

2021-11-01

Healthcare visit (other): Office visit

Release 10 — day 28, dose 2

2021-11-26

Symptoms: Hives - had them since my first vaccine back in April, but they've intensified again. No idea ofv it is related to the booster.

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
HCVO	Office visit	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Urticaria	✓	✓	✓

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