ZWC-19067-20592
3 vaccinations
7 coded responses
44 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 440 / OH
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-16
Survey response — day 7, dose 1MedDRA: Back pain — Feeling: Good · Muscle or body achesFree text: Back ache all the way across in the kidney areasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-30
-
2021-04-06
Survey response — day 28, single doseMedDRA: Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: UTI · Healthcare visit (other): Dr. Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Report sent to call center — day 28, single doseGet care from a doctor or other healthcare professional1 call case(s)
-
2021-04-10
Call successfulParticipant prefers to complete VAERS report online
-
2021-04-13
Survey response — day 35, single doseMedDRA: Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: UTI · Healthcare visit (other): Dr. OfficeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Report sent to call center — day 35, single doseGet care from a doctor or other healthcare professional1 call case(s)
- 2021-04-15
-
2021-04-20
Survey response — day 42, single doseMedDRA: Back pain, Office visit, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Backache, uti, possible kidney stone · Healthcare visit (other): Dr. OfficeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Report sent to call center — day 42, single doseGet care from a doctor or other healthcare professional1 call case(s)
- 2021-04-26
- 2021-06-08
-
2021-09-07
Survey response — 6 months, dose 1MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Positive for covid August 17, 2021MedDRA releases: 2024-11 · check-in free text available
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2021-09-07
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-08
-
2021-09-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-12-08
Dose 2 — Janssen/Johnson & Johnson
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-03-09
-
2022-06-08
Survey response — 6 months, dose 2MedDRA: Fatigue, Hypogeusia, Hyposmia, Post-acute COVID-19 syndrome, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Have had occasional fatigue, diminished smell and taste. I think I must be having occasional residual long Covid symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-12-01
Dose 3 — Moderna
- 2022-12-01
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2022-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2022-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Fatigue, Feeling abnormal, Feeling hot, Headache — Feeling: Good · Site: Pain · ChillsFree text: After the report yesterday, I felt worse. Fatigue, chills, feverish with no fever, slight headache. After 24 hrs and good sleep I am fine.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
- 2022-12-05
- 2022-12-06
- 2022-12-07
- 2022-12-08
- 2022-12-15
- 2022-12-22
- 2022-12-29
- 2023-01-05
- 2023-01-12
- 2023-03-02
- 2023-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-08 | Janssen/Johnson & Johnson | No |
| 3 | 2022-12-01 | Moderna | No |
Call center
4 call center cases
4 successful
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Back ache all the way across in the kidney areas
Release 7 — day 28, single dose
Release 7 — day 35, single dose
Release 7 — day 42, single dose
Release 9 — 6 months, dose 1
Symptoms: Positive for covid August 17, 2021
Release 11 — 6 months, dose 2
Symptoms: Have had occasional fatigue, diminished smell and taste. I think I must be having occasional residual long Covid symptoms.
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): After the report yesterday, I felt worse. Fatigue, chills, feverish with no fever, slight headache. After 24 hrs and good sleep I am fine.
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 | Back pain | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypogeusia | · | · | ✓ |
| SD | Hyposmia | · | · | ✓ |
| SD | Post-acute COVID-19 syndrome | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release