24R-30085-79435

2 vaccinations 11 coded responses 30 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 606 / IL
Registered: 2021-06-05

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-06-05
Registered in v-safe
2021-06-05
Dose 1 — Janssen/Johnson & Johnson
2021-06-05
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Felt pain at injection site, during the injection, and for several minutes after. No pain since initial pain subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Swelling

Free text: Occasional, infrequent, random, brief pain at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site swelling — Feeling: Good · Site: Swelling

Free text: Minor swelling around injection site. Much less than last two days. Barely noticeable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling — Feeling: Good · Site: Swelling

Free text: Slight swelling. Less than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Medical counselling, Pain, Self-medication, Tenderness — Feeling: Good · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Pain since yesterday, 8th June, in lower back just under bottom ribs. Outright pain, swelling, and tender last night. Lingering pain on touch, swollen today. Scheduled MD appointment for 14th June. Took ibuprofen, as suggested about 1 hour ago. Now tender to touch, and smaller tender area. · Healthcare visit (other): Spoke with MD's nurse via telephone. Scheduled 6/14/2021 appt. Took ibuprofen as suggested.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Injection site erythema, Injection site swelling, Tenderness — Feeling: Good · Site: Redness, Swelling

Free text: Realized injection site has been red and swollen. Slightly red and swollen, still. Pain and tenderness to touch, persists on back under lowest right rib. MD appointment 14 June 2021.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good · Site: Swelling

Free text: Lower back pain on right side under ribs, seems to have dissipated. No tenderness, no pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-06-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-21
Call 1 — Left Voicemail
2021-06-26
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-07-03
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-07-10
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-07-17
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-09-04
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-12-04
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-06-05
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in
2022-10-13
Dose 2 — Pfizer-BioNTech
2022-10-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2022-10-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Good

Free text: Tender lymph nodes under armpit of arm injected.

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Good

Free text: Slightly tender to touch lymph nodes in armpit of injection arm.

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Good · Site: Pain

Free text: Same tenderness, pain when pressed, in lymph nodes in armpit of injection arm

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Survey response — day 7, dose 2
MedDRA: Lymph node pain — Feeling: Good · Site: Pain

Free text: Less tenderness in lymph nodes of armpit of vaccinated arm.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2023-01-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-05	Janssen/Johnson & Johnson
2	2022-10-13	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-06-05

Systemic reaction (other): Felt pain at injection site, during the injection, and for several minutes after. No pain since initial pain subsided.

Release 8 — days 1–6 daily, dose 1

2021-06-06

Systemic reaction (other): Occasional, infrequent, random, brief pain at injection site.

2021-06-07

Systemic reaction (other): Minor swelling around injection site. Much less than last two days. Barely noticeable.

2021-06-08

Systemic reaction (other): Slight swelling. Less than yesterday.

Release 9 — days 1–6 daily, dose 1

2021-06-09

Systemic reaction (other): Pain since yesterday, 8th June, in lower back just under bottom ribs. Outright pain, swelling, and tender last night. Lingering pain on touch, swollen today. Scheduled MD appointment for 14th June. Took ibuprofen, as suggested about 1 hour ago. Now tender to touch, and smaller tender area. cut off by CDC

Healthcare visit (other): Spoke with MD's nurse via telephone. Scheduled 6/14/2021 appt. Took ibuprofen as suggested.

2021-06-10

Systemic reaction (other): Realized injection site has been red and swollen. Slightly red and swollen, still. Pain and tenderness to touch, persists on back under lowest right rib. MD appointment 14 June 2021.

2021-06-11

Systemic reaction (other): Lower back pain on right side under ribs, seems to have dissipated. No tenderness, no pain.

Release 12 — days 1–6 daily, dose 2

2022-10-17

Systemic reaction (other): Tender lymph nodes under armpit of arm injected.

2022-10-18

Systemic reaction (other): Slightly tender to touch lymph nodes in armpit of injection arm.

2022-10-19

Systemic reaction (other): Same tenderness, pain when pressed, in lymph nodes in armpit of injection arm

Release 12 — day 7, dose 2

2022-10-20

Systemic reaction (other): Less tenderness in lymph nodes of armpit of vaccinated arm.

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	Medical counselling	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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