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
-
2021-03-16
Registered in v-safe
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2021-03-16
Dose 1 — Janssen/Johnson & Johnson
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2021-03-16
Survey response — day 0, dose 1MedDRA: 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 activitiesFree text: These symptoms are always present r/t lupus and multiple other medical Dx, I've been on immunosuppressants for over 10 yrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: These symptoms are r/t medical issues have no changes from vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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 VACCINEMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Symptoms for medical dx not injection no symptoms that are newMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: ÑoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 7, dose 1MedDRA: 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 consultationFree text: Fever and other symptoms r/t autoimmune diseases not shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-30
- 2021-04-07
- 2021-04-14
- 2021-04-20
- 2021-04-27
- 2021-05-21
- 2021-06-15
- 2021-09-14
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2021-10-29
Dose 2 — Moderna
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2021-10-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
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2021-11-02
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, VomitingFree text: I have autoimmune diseases so these symptoms are constantMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-25 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
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
Systemic reaction (other): These symptoms are r/t medical issues have no changes from vaccine
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
Systemic reaction (other): Symptoms for medical dx not injection no symptoms that are new
Systemic reaction (other): Ño
Release 6 — day 7, dose 1
Systemic reaction (other): Fever and other symptoms r/t autoimmune diseases not shot
Release 10 — days 1–6 daily, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Autoimmune disorder | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release