2H9-30753-59215

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 480 / MI
Registered: 2021-04-02

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Janssen/Johnson & Johnson
2021-04-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Headache, Nausea — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Pains right side of head, right ear pain, a tiny bit of nausea

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

Free text: Leg pain yesterday and today so far

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Was sweating this morning and right leg pain again today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Muscular weakness, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My legs and feet have been hurting and feel very weak. I can still walk and everything I am just very aware as I never feel like this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Muscle twitching, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Yes, more headaches. Head pain in different areas. Leg twitching. Very concerned since I got J and J and and I am a 43 yr old woman. Very concerned and worried. · Healthcare visit (other): Have appts with my Nuro dr and have a brain MRI scheduled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Health check-in — day 21, single dose
Feeling: Poor

Adult check-in
2021-04-29
Call 1 — Left Voicemail
2021-04-29
Call successful
Participant prefers to complete VAERS report online
2021-05-02
Health check-in — day 28, single dose
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-07-05
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-10-21
Dose 2 — Moderna
2021-11-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-11-11
Survey response — day 21, dose 2
MedDRA: Abdominal pain lower, Headache, Office visit, Pelvic pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I thought I had a urinary tract infection and do not. Having some lower abdomen pain and pelvic. Keeping an eye on it to see if I need to go back to Dr. Also headaches everyday

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-11-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-12-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-04-21
Survey response — 6 months, dose 2
MedDRA: Ear pain, Office visit, SARS-CoV-2 test negative, Sinus headache, Tooth disorder — Feeling: Fair · 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: Teeth issues and sinus headaches and right ear pain since February. Took covid test and always negative. Being monitored by my doctor's.

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-24
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Janssen/Johnson & Johnson
2	2021-10-21	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Pains right side of head, right ear pain, a tiny bit of nausea

2021-04-04

Systemic reaction (other): Leg pain yesterday and today so far

2021-04-05

Systemic reaction (other): Was sweating this morning and right leg pain again today

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): My legs and feet have been hurting and feel very weak. I can still walk and everything I am just very aware as I never feel like this.

Release 7 — day 14, dose 1

2021-04-16

Symptoms: Yes, more headaches. Head pain in different areas. Leg twitching. Very concerned since I got J and J and and I am a 43 yr old woman. Very concerned and worried.

Healthcare visit (other): Have appts with my Nuro dr and have a brain MRI scheduled

Release 10 — day 21, dose 2

2021-11-11

Symptoms: I thought I had a urinary tract infection and do not. Having some lower abdomen pain and pelvic. Keeping an eye on it to see if I need to go back to Dr. Also headaches everyday

Release 11 — 6 months, dose 2

2022-04-21

Symptoms: Teeth issues and sinus headaches and right ear pain since February. Took covid test and always negative. Being monitored by my doctor's.

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain lower	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle twitching	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pelvic pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus headache	·	·	✓
SD	Tooth disorder	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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