2LE-88894-71748

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 038 / NH
Registered: 2021-04-09

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

2021-04-07
Dose 1 — Janssen/Johnson & Johnson
2021-04-09
Registered in v-safe
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Chills, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Ear pain, Fatigue, Feeling abnormal, Headache, Pain, Pain in jaw, Pyrexia — Feeling: Good · Site: Pain

Free text: Starting just before 5pm on April 7 (day of vaccine) and lasting through April 8th I had fever, body aches, ear & jaw pain, headache, chills, brain fog & fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 42, single dose
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Survey response — 3 months, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-08
Survey response — 6 months, dose 1
MedDRA: Abortion spontaneous, Biochemical pregnancy, Diarrhoea — Feeling: Fair

Free text: Chemical pregnancy/early miscarriage, diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Dose 2 — Pfizer-BioNTech
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Adult check-in
2021-11-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-11
Survey response — day 14, dose 2
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Runny nose, sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — day 21, dose 2
MedDRA: Back pain, Fatigue, Headache, Nasal congestion, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache, stuffy nose, sneezing, backache fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headache

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-09
Survey response — day 42, dose 2
MedDRA: Nasal congestion, Sneezing — Feeling: Fair

Free text: Sneezing, stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — 3 months, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Persistent sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Ear infection, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, diarrhea, ear infection

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 6 months, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-02
Call 1 — Left Voicemail
2022-10-30
Survey response — 12 months, dose 2
MedDRA: Formication, Headache, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Today I suddenly began feeling achy all over and like my skin is crawling (typical symptoms for me of an oncoming fever). Normal temps so far. Early the morning after my booster, I woke with the same symptoms, plus headache and fever. Lasted two days

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Janssen/Johnson & Johnson
2	2021-10-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-29	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Starting just before 5pm on April 7 (day of vaccine) and lasting through April 8th I had fever, body aches, ear & jaw pain, headache, chills, brain fog & fatigue

Release 8 — day 42, single dose

2021-05-19

Symptoms: Pregnancy

Release 9 — 3 months, dose 1

2021-07-07

Symptoms: Diarrhea

Release 10 — 6 months, dose 1

2021-10-08

Symptoms: Chemical pregnancy/early miscarriage, diarrhea.

Release 10 — day 14, dose 2

2021-11-11

Symptoms: Runny nose, sneezing

Release 10 — day 21, dose 2

2021-11-18

Symptoms: Headache, stuffy nose, sneezing, backache fatigue

Release 10 — day 28, dose 2

2021-11-25

Symptoms: Headache

Release 10 — day 42, dose 2

2021-12-09

Symptoms: Sneezing, stuffy nose

Release 11 — 3 months, dose 2

2022-01-27

Symptoms: Persistent sore throat

Release 11 — 6 months, dose 2

2022-04-29

Symptoms: Sore throat, diarrhea, ear infection

Release 12 — 12 months, dose 2

2022-10-30

Symptoms: Today I suddenly began feeling achy all over and like my skin is crawling (typical symptoms for me of an oncoming fever). Normal temps so far. Early the morning after my booster, I woke with the same symptoms, plus headache and fever. Lasted two days cut off by CDC

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	Abortion spontaneous	·	·	✓
SD	Back pain	·	·	✓
SD	Biochemical pregnancy	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Fatigue	·	·	✓
SD	Formication	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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