26P-36368-44449

4 vaccinations 16 coded responses 55 check-ins 16 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 951 / CA
Registered: 2021-03-10

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-09
Dose 1 — Janssen/Johnson & Johnson
2021-03-10
Registered in v-safe
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Mild congestion and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Sore throat around the base of the neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-08
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-07
Survey response — 6 months, dose 1
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Summer cold 6/25 lasting several weeks. Symptoms were sinus congestion, runny nose, sore throat and cough. Never had a fever and had 6 negative COVID tests (normal testing procedures for my facility)

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Dose 2 — Moderna
2022-01-03
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-04
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · 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 visit

Free text: Difficulty breathing

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Report sent to call center — days 1–6 daily, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Difficulty breathing, chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Call 1 — Left Voicemail
2022-01-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chest tightness

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2022-01-10
Health check-in — day 7, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2022-01-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-01-31
Survey response — day 28, dose 2
MedDRA: Headache, Lacrimation increased, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair

Free text: Sinus congestion, headaches, runny nose, watery eyes. But there been no change in environmental allergens and all my Covid tests at work have been negative (we do antigen tests daily)

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Survey response — day 35, dose 2
MedDRA: Chest pain, Dyspnoea, Heart rate increased, Office visit, Palpitations — Feeling: Good

Free text: After my booster I went to urgent care for chest pain with palpitations and difficulty breathing . But a little over a month later I'm still having the high HR and palpitations I had from excessive Xopenex use even though I'm not using it anymore.

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-04-04
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good

Free text: My rheumatoid arthritis is flaring up

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Dose 3 — Pfizer-BioNTech
2022-05-15
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-22
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-05-29
Survey response — day 14, dose 3
MedDRA: Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Fair

Free text: Sore throat, post nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-19
Survey response — day 35, dose 3
MedDRA: Occupational exposure to SARS-CoV-2, Rhinorrhoea — Feeling: Good

Free text: Slight runny nose, possibly seasonal allergies, though I did have 4 COVID exposures (per work) between 6/6-6/13

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Survey response — day 42, dose 3
MedDRA: Lacrimation increased, Sinus congestion — Feeling: Good

Free text: Sinus congestion, watery eyes

MedDRA releases: 2024-11 · check-in free text available
2022-08-14
Survey response — 3 months, dose 3
MedDRA: Dry eye — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dry eyes, possibly Sjogrens not officially diagnosed yet

MedDRA releases: 2024-11 · check-in free text available
2022-08-14
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-15
Call 2 — Left Voicemail
2022-08-15
Call 1 — Left Voicemail
2022-08-16
Call successful
Completed over the phone
2022-08-16
Call successful
Does not wish to fill out VAERS report
2022-10-02
Dose 4 — Pfizer-BioNTech
2022-10-02
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-09
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-30
Survey response — day 28, dose 4
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Rheumatoid arthritis flare up, likely triggered by massive drop in temperature

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Janssen/Johnson & Johnson
2	2022-01-03	Moderna	No
3	2022-05-15	Pfizer-BioNTech	No
4	2022-10-02	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Mild congestion and cough

2021-03-11

Systemic reaction (other): Runny nose

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Sore throat around the base of the neck

Release 9 — 6 months, dose 1

2021-09-07

Symptoms: Summer cold 6/25 lasting several weeks. Symptoms were sinus congestion, runny nose, sore throat and cough. Never had a fever and had 6 negative COVID tests (normal testing procedures for my facility)

Release 10 — days 1–6 daily, dose 2

2022-01-04

Systemic reaction (other): Runny nose

2022-01-05

Systemic reaction (other): Difficulty breathing

2022-01-06

Systemic reaction (other): Difficulty breathing, chest pain

2022-01-08

Systemic reaction (other): Chest tightness

Release 11 — day 28, dose 2

2022-01-31

Symptoms: Sinus congestion, headaches, runny nose, watery eyes. But there been no change in environmental allergens and all my Covid tests at work have been negative (we do antigen tests daily)

Release 11 — day 35, dose 2

2022-02-07

Symptoms: After my booster I went to urgent care for chest pain with palpitations and difficulty breathing . But a little over a month later I'm still having the high HR and palpitations I had from excessive Xopenex use even though I'm not using it anymore.

Release 11 — 3 months, dose 2

2022-04-04

Symptoms: My rheumatoid arthritis is flaring up

Release 11 — day 14, dose 3

2022-05-29

Symptoms: Sore throat, post nasal drip

Release 12 — day 35, dose 3

2022-06-19

Symptoms: Slight runny nose, possibly seasonal allergies, though I did have 4 COVID exposures (per work) between 6/6-6/13

Release 12 — day 42, dose 3

2022-06-27

Symptoms: Sinus congestion, watery eyes

Release 12 — 3 months, dose 3

2022-08-14

Symptoms: Dry eyes, possibly Sjogrens not officially diagnosed yet

Release 12 — day 28, dose 4

2022-10-30

Symptoms: Rheumatoid arthritis flare up, likely triggered by massive drop in temperature

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	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Dry eye	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Occupational exposure to SARS-CoV-2	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rheumatoid arthritis	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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