2MA-29038-10878

2 vaccinations 11 coded responses 26 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 543 / WI
Registered: 2021-04-09

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

2021-04-08
Dose 1 — Janssen/Johnson & Johnson
2021-04-09
Registered in v-safe
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Facial pain, Pain in jaw, Rhinalgia — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Pain in facial area (nasal and jaw pain)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Facial pain, Muscular weakness, Pain in jaw, Rhinalgia — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Facial pain (nasal and jaw), back pain, and left leg weakness still persist

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: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-22
Survey response — day 14, dose 1
MedDRA: Chronic fatigue syndrome, Migraine, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsting of migraines and chronic fatigue syndrome

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 28, single dose
MedDRA: Condition aggravated, Fatigue, Migraine, Neck pain, Pain in jaw, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Worsting migraines, neck and jaw pain, as well as chronic fatigue syndrome.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 28, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-05-20
Survey response — day 42, single dose
MedDRA: Back pain, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Worsening headaches, and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 42, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Call 1 — Left Voicemail
2021-07-08
Survey response — 3 months, dose 1
MedDRA: Migraine — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Migraines became worst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Call 1 — Could Not Reach Participant
2021-07-15
Call 2 — Could Not Reach Participant
2021-10-08
Survey response — 6 months, dose 1
MedDRA: Chest pain, Dysphagia, Dyspnoea — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest pains, difficulty breathing, difficulty swallowing.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-21
Dose 2 — Pfizer-BioNTech
2022-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches

Free text: Pain in armpit

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-01-29
Health check-in — day 7, dose 2
Feeling: Poor · Headache, Fatigue or tiredness

Adult check-in
2022-02-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2022-02-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2022-02-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2022-03-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2022-03-07
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Nausea — Feeling: Fair

Free text: Nausea and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — 3 months, dose 2
MedDRA: Rash, Thyroidectomy, Viral rash — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Rashes on entire body (viral rash), no antibiotics. Thyroidectomy on April 8, 2022.

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 3 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail
2022-07-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2023-01-24
Survey response — 12 months, dose 2
MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Janssen/Johnson & Johnson
2	2022-01-21	Pfizer-BioNTech	No

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Pain in facial area (nasal and jaw pain)

2021-04-10

Systemic reaction (other): Facial pain (nasal and jaw), back pain, and left leg weakness still persist

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Worsting of migraines and chronic fatigue syndrome

Release 8 — day 28, single dose

2021-05-06

Symptoms: Worsting migraines, neck and jaw pain, as well as chronic fatigue syndrome.

Release 8 — day 42, single dose

2021-05-20

Symptoms: Worsening headaches, and back pain

Release 9 — 3 months, dose 1

2021-07-08

Symptoms: Migraines became worst

Release 10 — 6 months, dose 1

2021-10-08

Symptoms: Chest pains, difficulty breathing, difficulty swallowing.

Release 11 — days 1–6 daily, dose 2

2022-01-23

Systemic reaction (other): Pain in armpit

Release 11 — day 42, dose 2

2022-03-07

Symptoms: Nausea and diarrhea

Release 11 — 3 months, dose 2

2022-04-22

Symptoms: Rashes on entire body (viral rash), no antibiotics. Thyroidectomy on April 8, 2022.

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	Back pain	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Chronic fatigue syndrome	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dysphagia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Thyroidectomy	·	·	✓
SD	Viral rash	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Rhinalgia	✓	✓	✓

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