ZY5-91585-68213
1 vaccination
6 coded responses
14 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 216 / MD
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-09
-
2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-13
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Fever · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-20
Survey response — day 14, dose 1MedDRA: Headache, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches. I never get headaches and I have had one for 2 days that is not relieved by Tylenol like it usually isMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
-
2021-05-04
Survey response — day 28, single doseMedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Survey response — day 35, single doseMedDRA: Chills, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Body aches and chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Survey response — day 42, single doseMedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain in injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-07
Survey response — 3 months, dose 1MedDRA: Lymphadenopathy — Feeling: FairFree text: swollen lymph nodes that pop up and then disappear!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-07
-
2022-04-06
Survey response — 12 months, dose 1MedDRA: Bacterial infection, COVID-19, Nasopharyngitis, Viral infection — Feeling: Poor · 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: I do not usually catch the common cold or other viruses when those around me are sick. I had Covid January 5, 2022. I have had everything that could be possible since! Virus after virus, bacterial infections and cold after cold!MedDRA releases: 2024-11 · check-in free text available
-
2022-04-06
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-06 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Headaches. I never get headaches and I have had one for 2 days that is not relieved by Tylenol like it usually is
Release 8 — day 28, single dose
Symptoms: Headaches
Release 8 — day 35, single dose
Symptoms: Body aches and chills
Release 8 — day 42, single dose
Symptoms: Pain in injection site
Release 9 — 3 months, dose 1
Symptoms: swollen lymph nodes that pop up and then disappear!
Release 11 — 12 months, dose 1
Symptoms: I do not usually catch the common cold or other viruses when those around me are sick. I had Covid January 5, 2022. I have had everything that could be possible since! Virus after virus, bacterial infections and cold after cold!
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 | Bacterial infection | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release