ZJ4-85082-46233
4 vaccinations
3 coded responses
42 check-ins
3 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 223 / VA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
-
2021-10-22
Dose 2 — Pfizer-BioNTech
- 2021-11-01
- 2021-11-05
- 2021-11-12
-
2021-11-19
Survey response — day 28, dose 2MedDRA: Bronchitis, Cough, Medical observation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Persistent cough (no other symptoms). Diagnosed with bronchitis based on stethoscope observation of deep breathing.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-26
-
2021-11-29
Call successfulDoes not wish to fill out VAERS report
- 2021-12-03
- 2022-01-21
-
2022-04-22
Survey response — 6 months, dose 2MedDRA: COVID-19, Cough, SARS-CoV-2 test positive — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I caught COVID-19. PCR positive on 4/4. Still have an annoying cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-04-24
Dose 3 — Moderna
- 2022-04-25
-
2022-04-25
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-05-22
- 2022-05-29
- 2022-06-05
-
2022-07-24
Survey response — 3 months, dose 3MedDRA: Emergency care, Intervertebral disc protrusion, Pulmonary oedema, Pulmonary thrombosis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Developed blood clots (pulmonary edemas), two of the, one each in a lobe of my right lung. At the hospital they told me that my having contracted COVID-19, coupled with being immobile due to a herniated disk, created clots in my legs, which migratedMedDRA releases: 2024-11 · check-in free text available
-
2022-07-24
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-07-25
Call successfulCompleted over the phone
-
2022-09-13
Dose 4 — Pfizer-BioNTech
- 2022-10-07
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-22 | Pfizer-BioNTech | No |
| 3 | 2022-04-24 | Moderna | No |
| 4 | 2022-09-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-19 | Successful 2021-11-29 |
Does not wish to fill out VAERS report |
| 2022-04-22 | Successful 2022-04-25 |
Participant prefers to complete VAERS report online |
| 2022-07-24 | Successful 2022-07-25 |
Completed over the phone |
Free text
Release 10 — day 28, dose 2
Symptoms: Persistent cough (no other symptoms). Diagnosed with bronchitis based on stethoscope observation of deep breathing.
Release 11 — 6 months, dose 2
Symptoms: I caught COVID-19. PCR positive on 4/4. Still have an annoying cough.
Release 12 — 3 months, dose 3
Symptoms: Developed blood clots (pulmonary edemas), two of the, one each in a lobe of my right lung. At the hospital they told me that my having contracted COVID-19, coupled with being immobile due to a herniated disk, created clots in my legs, which migrated cut off by CDC
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 | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Medical observation | · | · | ✓ |
| SD | Pulmonary oedema | · | · | ✓ |
| SD | Pulmonary thrombosis | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release