Z8U-51746-76093
2 vaccinations
6 coded responses
17 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 957 / CA
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-12
Registered in v-safe
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2021-03-12
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-12
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-14
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: Tiny rash at sock line on right ankleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-18
- 2021-03-21
- 2021-03-26
- 2021-04-02
- 2021-04-09
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2021-04-18
Survey response — day 35, single doseMedDRA: Headache, Laboratory test abnormal, Nausea — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I had a bad headache and nausea last Sunday night after my check in. · Healthcare visit (other): She tested me for a blood clot, numbers were slightly elevated so they did an ultrasound on my leg but it was negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Report sent to call center — day 35, single doseGet care from a doctor or other healthcare professional1 call case(s)
- 2021-04-23
- 2021-04-28
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2021-04-29
Call successfulCompleted over the phone
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2021-06-11
Survey response — 3 months, dose 1MedDRA: Migraine, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: I get a migraine monthly around the same time. Nothing helps but actual migraine medication. OTC meds dont touch it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-10
Survey response — 6 months, dose 1MedDRA: Migraine — Feeling: Good · Be unable to do your normal daily activitiesFree text: Migraines about once a month that require prescribed migraine medicationMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Dose 2 — Pfizer-BioNTechCo-administered: Flu
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2022-03-12
Survey response — 12 months, dose 1MedDRA: Dark circles under eyes, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Dark circles Tired all the timeMedDRA releases: 2024-11 · check-in free text available
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2022-03-12
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-14
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2022-11-04
Survey response — 12 months, dose 2MedDRA: Headache, Reaction to previous exposure to any vaccine — Feeling: Good · Be unable to do your normal daily activitiesFree text: Continued headaches. Always seem to get a few bad ones in the first couple of weeks after vaxxMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-04 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-18 | Successful 2021-04-29 |
Completed over the phone |
| 2022-03-12 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Tiny rash at sock line on right ankle
Release 7 — day 35, single dose
Symptoms: I had a bad headache and nausea last Sunday night after my check in.
Healthcare visit (other): She tested me for a blood clot, numbers were slightly elevated so they did an ultrasound on my leg but it was negative
Release 9 — 3 months, dose 1
Symptoms: I get a migraine monthly around the same time. Nothing helps but actual migraine medication. OTC meds dont touch it.
Release 9 — 6 months, dose 1
Symptoms: Migraines about once a month that require prescribed migraine medication
Release 11 — 12 months, dose 1
Symptoms: Dark circles Tired all the time
Release 12 — 12 months, dose 2
Symptoms: Continued headaches. Always seem to get a few bad ones in the first couple of weeks after vaxx
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 | Laboratory test abnormal | ✓ | ✓ | ✓ |
| SD | Dark circles under eyes | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release