2P7-26473-56047

3 vaccinations 9 coded responses 20 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 194 / PA
Registered: 2021-12-28

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

Timeline

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

2021-04-09
Dose 1 — Janssen/Johnson & Johnson
2021-11-26
Dose 2 — Moderna
2021-12-28
Registered in v-safe
2021-12-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-02-25
Survey response — 3 months, dose 2
MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Congestion,cough, Stuffy nose.

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-28
Call 1 — Left Voicemail
2022-02-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-27
Survey response — 6 months, dose 2
MedDRA: Helicobacter infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe stomach infection called H PYLORI on several antibiotics and medication for H Pylori · Healthcare visit (other): Saw my Gastroenterologist

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-01
Call 2 — Left Voicemail
2022-06-01
Call 1 — Left Voicemail
2022-06-21
Dose 3 — Moderna
2022-06-21
Survey response — day 0, dose 3
MedDRA: Helicobacter infection, Office visit, Spinal operation — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I do have a severe case of H Pylori from when I had Total Back Reconstruction Surgery at (b)(6) hospital and I complained and the Dr said it's not his problem

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Survey response — days 1–6 daily, dose 3
MedDRA: Helicobacter infection — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have a severe H Plori infection

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-25
Survey response — days 1–6 daily, dose 3
MedDRA: Helicobacter infection — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still dealing with the H Pylori infection

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Survey response — days 1–6 daily, dose 3
MedDRA: Helicobacter infection — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Have H Pylori

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Survey response — day 7, dose 3
MedDRA: Helicobacter infection — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Have H Pylori

MedDRA releases: 2024-11 · check-in free text available
2022-07-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-13
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-07-19
Survey response — day 28, dose 3
MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: My arm where I was injected starting hurting again , no redness just pain in the injection area.

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-08-02
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-09-20
Survey response — 3 months, dose 3
MedDRA: Fluid retention, Helicobacter infection, Office visit — Feeling: Good · Be unable to do your normal daily activities

Free text: severe fluid retention in my left leg and my Dr can't get rid of the H Pylori infection in my stomach.

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-06-23
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Janssen/Johnson & Johnson	No
2	2021-11-26	Moderna	No
3	2022-06-21	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 11 — 3 months, dose 2

2022-02-25

Symptoms: Congestion,cough, Stuffy nose.

Release 11 — 6 months, dose 2

2022-05-27

Symptoms: Severe stomach infection called H PYLORI on several antibiotics and medication for H Pylori

Healthcare visit (other): Saw my Gastroenterologist

Release 12 — day 0, dose 3

2022-06-21

Systemic reaction (other): I do have a severe case of H Pylori from when I had Total Back Reconstruction Surgery at (b)(6) hospital and I complained and the Dr said it's not his problem

redacted (b)(6)

Release 12 — days 1–6 daily, dose 3

2022-06-22

Systemic reaction (other): I have a severe H Plori infection

2022-06-25

Systemic reaction (other): Still dealing with the H Pylori infection

2022-06-26

Systemic reaction (other): Have H Pylori

Release 12 — day 7, dose 3

2022-06-28

Systemic reaction (other): Have H Pylori

Release 12 — day 28, dose 3

2022-07-19

Symptoms: My arm where I was injected starting hurting again , no redness just pain in the injection area.

Release 12 — 3 months, dose 3

2022-09-20

Symptoms: severe fluid retention in my left leg and my Dr can't get rid of the H Pylori infection in my stomach.

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	Office visit	·	·	✓
SD	Cough	·	·	✓
SD	Fluid retention	·	·	✓
SD	Helicobacter infection	·	·	✓
SD	Injection site pain	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Office visit	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Helicobacter infection	·	·	✓
SRO	Office visit	·	·	✓
SRO	Spinal operation	·	·	✓

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