2AC-12898-84871

3 vaccinations 13 coded responses 25 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 622 / IL
Registered: 2021-03-25

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Janssen/Johnson & Johnson
2021-03-25
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Nausea

Free text: Since I have multiple health conditions, i am only reporting any differences since my vaccine. I'm trying to differentiate between them.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy, Ocular discomfort, Pre-existing disease, Pyrexia, Vision blurred — Feeling: Fair · Site: Pain · Fever · Headache

Free text: Only feel feverish this evening. Woke up this morning with my left lymph node under my jaw swollen and a slight sore throat. Have had some extra pressure behind my eyes, especially left, and some different blurry vision for 2 days now, but thinking it's getting better. Just to note: i have autoimmune, am also immuno-compromised, and have pulmonary hypertension in case it helps with any studies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain, Throat irritation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Woke up with left gland under jaw swollen again and sore / burning throat. Has so far lasted the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Survey response — day 21, single dose
MedDRA: Lymphadenopathy, Malaise, Mass, Neck mass, Office visit, Skin tightness — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued issues with my left lymph node under my jaw and in general feeling worse than usual. Didn't think it was much until my doctor felt it today and said it's very tight and I have an unusual lump in my neck now. She ordered an ultrasound to see · Healthcare visit (other): Scheduled in person appt with my primary doctor. She felt a lump she is concerned about and ordered an ultrasound. Praying it's nothing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 21, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 28, single dose
MedDRA: Feeling abnormal, Neck mass, Office visit, White blood cell count increased — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My doctor felt a lump in my neck, but luckily it was gone when I had the ultrasound a few days later.My WBC has been elevated and I've been feeling worse, but my doctor and I are hopeful that with my immune system it's just the vaccine working. · Healthcare visit (other): In person scheduled appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 28, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Call 1 — Left Voicemail
2021-04-30
Survey response — day 35, single dose
MedDRA: Dysphagia, Ear pain, Headache, Musculoskeletal discomfort, Pain, Pain in jaw — Feeling: Fair · Be unable to do your normal daily activities

Free text: More discomfort in my neck (tightness, some soreness to the touch), sharp pains in my jaw muscle & deep in my ear (feels different than infection, main pain is under earlobe & behind jaw but deep), sudden & severe headaches, some difficulty swallowin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-04-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-06
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-09-25
Survey response — 6 months, dose 1
MedDRA: Chest pain, Dizziness, Dyspnoea, Loss of consciousness — Feeling: Poor · Be unable to work or attend school

Free text: Chest pains, dizziness, short of breath, several passing out spells

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Dose 2 — Moderna
2022-03-27
Survey response — 12 months, dose 1
MedDRA: Chest pain, Crohn's disease, Dyspnoea, Gastrointestinal disorder, Intestinal stenosis, Office visit, Pre-existing disease — 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, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Chest pains, shortness of breath, possible minor heart attack. Also worsening instestinal conditions (20 yrs of ulcerative colitis has now been changed to Crohn's, had major flare up, and now have at least one stricture). Other issues as well, · Healthcare visit (other): Various tests including as outpatient (nuclear stress test and colonoscopies). Other have me seeing new Drs (neurologist & ENT)

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Report sent to call center — 12 months, dose 1
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail
2022-10-18
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-10-18
Survey response — day 0, dose 3
MedDRA: Discomfort, Ear discomfort, Ear pain, Pain in jaw — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Jaw and ear pain/pressure

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-28
Survey response — day 7, dose 3
MedDRA: Neuralgia, Spinal pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Spine and nerve pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-11-18
Survey response — day 28, dose 3
MedDRA: Back pain, Chest pain, Computerised tomogram abnormal, Decreased appetite, Dyspnoea, Lung opacity, Painful respiration — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath, loss of appetite, crushing pain and pressure thru my upper back and chest to my chest plate, and it hurts to breath. An abdominal/pelvic CT showed part of a tree-in bud nodule with ground glass, this hasn't been followed up.

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-12-01
Survey response — day 42, dose 3
MedDRA: Back pain, Chest discomfort, Chest pain, Office visit, Pulmonary mass — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: In addition to back & chest pain/pressure getting worse, i apparently have quite a few tree-in bud nodules in my lungs now. · Healthcare visit (other): Specialist appt

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-12-02
Call 3 — Left Voicemail
2022-12-02
Call 2 — Left Voicemail
2023-01-20
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2023-04-21
Survey response — 6 months, dose 3
MedDRA: Crohn's disease, Hernia repair, Hypersensitivity, Pre-existing disease, Sinus disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2024-11
2023-04-21
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2023-04-24
Call 2 — Left Voicemail
2023-04-24
Call 1 — Left Voicemail
2023-04-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Janssen/Johnson & Johnson
2	2021-11-22	Moderna	No
3	2022-10-18	Pfizer-BioNTech	Flu

Call center

5 call center cases

2 successful · 3 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Since I have multiple health conditions, i am only reporting any differences since my vaccine. I'm trying to differentiate between them.

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Only feel feverish this evening. Woke up this morning with my left lymph node under my jaw swollen and a slight sore throat. Have had some extra pressure behind my eyes, especially left, and some different blurry vision for 2 days now, but thinking it's getting better. Just to note: i have autoimmune, am also immuno-compromised, and have pulmonary hypertension in case it helps with any studies.

2021-03-29

Systemic reaction (other): Woke up with left gland under jaw swollen again and sore / burning throat. Has so far lasted the day

Release 7 — day 21, single dose

2021-04-15

Symptoms: Continued issues with my left lymph node under my jaw and in general feeling worse than usual. Didn't think it was much until my doctor felt it today and said it's very tight and I have an unusual lump in my neck now. She ordered an ultrasound to see cut off by CDC

Healthcare visit (other): Scheduled in person appt with my primary doctor. She felt a lump she is concerned about and ordered an ultrasound. Praying it's nothing.

Release 7 — day 28, single dose

2021-04-22

Symptoms: My doctor felt a lump in my neck, but luckily it was gone when I had the ultrasound a few days later.My WBC has been elevated and I've been feeling worse, but my doctor and I are hopeful that with my immune system it's just the vaccine working.

Healthcare visit (other): In person scheduled appointment

Release 8 — day 35, single dose

2021-04-30

Symptoms: More discomfort in my neck (tightness, some soreness to the touch), sharp pains in my jaw muscle & deep in my ear (feels different than infection, main pain is under earlobe & behind jaw but deep), sudden & severe headaches, some difficulty swallowin cut off by CDC

Release 9 — 6 months, dose 1

2021-09-25

Symptoms: Chest pains, dizziness, short of breath, several passing out spells

Release 11 — 12 months, dose 1

2022-03-27

Symptoms: Chest pains, shortness of breath, possible minor heart attack. Also worsening instestinal conditions (20 yrs of ulcerative colitis has now been changed to Crohn's, had major flare up, and now have at least one stricture). Other issues as well,

Healthcare visit (other): Various tests including as outpatient (nuclear stress test and colonoscopies). Other have me seeing new Drs (neurologist & ENT)

Release 12 — day 0, dose 3

2022-10-18

Systemic reaction (other): Jaw and ear pain/pressure

Release 12 — day 7, dose 3

2022-10-28

Systemic reaction (other): Spine and nerve pain

Release 12 — day 28, dose 3

2022-11-18

Symptoms: Shortness of breath, loss of appetite, crushing pain and pressure thru my upper back and chest to my chest plate, and it hurts to breath. An abdominal/pelvic CT showed part of a tree-in bud nodule with ground glass, this hasn't been followed up.

Release 12 — day 42, dose 3

2022-12-01

Symptoms: In addition to back & chest pain/pressure getting worse, i apparently have quite a few tree-in bud nodules in my lungs now.

Healthcare visit (other): Specialist appt

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	Mass	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Back pain	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Computerised tomogram abnormal	·	·	✓
SD	Crohn's disease	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysphagia	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Hernia repair	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Intestinal stenosis	·	·	✓
SD	Loss of consciousness	·	·	✓
SD	Lung opacity	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Musculoskeletal discomfort	✓	✓	✓
SD	Neck mass	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Painful respiration	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary mass	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Skin tightness	✓	✓	✓
SD	White blood cell count increased	✓	✓	✓
SRO	Discomfort	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neuralgia	·	·	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in jaw	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Spinal pain	·	·	✓
SRO	Throat irritation	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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