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ZDE-16849-32907

2 vaccinations 7 coded responses 15 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
531 / WI
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-16
    Survey response — day 0, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: These symptoms are always present r/t lupus and multiple other medical Dx, I've been on immunosuppressants for over 10 yrs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: These symptoms are r/t medical issues have no changes from vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease, Pyrexia — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: The fever and all other symptoms are r/t multiple medical Dx not vaccine. I HAVE NOT HAD ANY SYMPTOMS THAT ARE NEW OR R/T VACCINE
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Symptoms for medical dx not injection no symptoms that are new
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Ño
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-25
    Survey response — day 7, dose 1
    MedDRA: Autoimmune disorder, Pyrexia — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Fever and other symptoms r/t autoimmune diseases not shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-25
    Report sent to call center — day 7, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-07
    Health check-in — day 21, single dose
    Feeling: Fair
    Adult check-in
  12. 2021-04-14
    Health check-in — day 28, single dose
    Feeling: Fair
    Adult check-in
  13. 2021-04-20
    Health check-in — day 35, single dose
    Feeling: Poor
    Adult check-in
  14. 2021-04-27
    Health check-in — day 42, single dose
    Feeling: Fair
    Adult check-in
  15. 2021-05-21
  16. 2021-06-15
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  17. 2021-09-14
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in
  18. 2021-10-29
    Dose 2 — Moderna
  19. 2021-10-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-11-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting
    Free text: I have autoimmune diseases so these symptoms are constant
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Janssen/Johnson & Johnson
22021-10-29Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-03-25 Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): These symptoms are always present r/t lupus and multiple other medical Dx, I've been on immunosuppressants for over 10 yrs

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): These symptoms are r/t medical issues have no changes from vaccine

2021-03-18

Systemic reaction (other): The fever and all other symptoms are r/t multiple medical Dx not vaccine. I HAVE NOT HAD ANY SYMPTOMS THAT ARE NEW OR R/T VACCINE

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Symptoms for medical dx not injection no symptoms that are new

2021-03-21

Systemic reaction (other): Ño

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Fever and other symptoms r/t autoimmune diseases not shot

Release 10 — days 1–6 daily, dose 2

2021-11-02

Systemic reaction (other): I have autoimmune diseases so these symptoms are constant

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

FieldPreferred term2021-092023-042024-11
SROAutoimmune disorder ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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