2P8-14552-93525

2 vaccinations 8 coded responses 29 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 911 / CA
Registered: 2021-04-04

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-03
Dose 1 — Janssen/Johnson & Johnson
2021-04-04
Registered in v-safe
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration, Hyperhidrosis, Skin odour abnormal — Feeling: Good · Site: Pain · Muscle or body aches

Free text: I've been a bit more dehydrated after the vaccination. Not sure if that is because of the weather getting warmer or the shot. Also the first couple days I was more sweaty and had more body odor that usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site rash, Ocular hyperaemia, Rash, Superficial injury of eye — Feeling: Good · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: I noticed a rash by the injection site that spread to my chest and other arm. Also I have a red eye that seems to be a scratch so it may not be related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness · Fever · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 35, single dose
MedDRA: Urticaria — Feeling: Good

Free text: Ive had more hives recently. It may just be a bad allergy season, but I didnt have them nearly as bad before the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-03
Survey response — 3 months, dose 1
MedDRA: Flatulence, Secretion discharge — Feeling: Fair

Free text: Having intestinal gas with some mucous-like discharge. I am hoping it gets better but I may see a doctor soon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-02
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-28
Dose 2 — Moderna
2021-10-28
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Unable to sleep

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Hypersensitivity, Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: I've had dry coughing since I got the shot. It is allergy season but it got worse after the shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-18
Survey response — day 21, dose 2
MedDRA: Asthma — Feeling: Good

Free text: Following the booster I had asthmatic symptoms gradually become worse that finally started to improve this week. Happy probably should have seen a doctor but I didn't want to burden the system.

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

Adult check-in
2021-12-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-12-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-27
Survey response — 3 months, dose 2
MedDRA: COVID-19, Lethargy, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Positive to Covid. Symptoms include fever up to 102.9, severe congestion, and lethargy.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-10-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Janssen/Johnson & Johnson
2	2021-10-28	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): I've been a bit more dehydrated after the vaccination. Not sure if that is because of the weather getting warmer or the shot. Also the first couple days I was more sweaty and had more body odor that usual.

2021-04-09

Systemic reaction (other): I noticed a rash by the injection site that spread to my chest and other arm. Also I have a red eye that seems to be a scratch so it may not be related to the vaccine.

Release 8 — day 35, single dose

2021-05-08

Symptoms: Ive had more hives recently. It may just be a bad allergy season, but I didnt have them nearly as bad before the vaccine.

Release 9 — 3 months, dose 1

2021-07-03

Symptoms: Having intestinal gas with some mucous-like discharge. I am hoping it gets better but I may see a doctor soon.

Release 10 — days 1–6 daily, dose 2

2021-10-31

Systemic reaction (other): Unable to sleep

2021-11-03

Systemic reaction (other): I've had dry coughing since I got the shot. It is allergy season but it got worse after the shot.

Release 10 — day 21, dose 2

2021-11-18

Symptoms: Following the booster I had asthmatic symptoms gradually become worse that finally started to improve this week. Happy probably should have seen a doctor but I didn't want to burden the system.

Release 11 — 3 months, dose 2

2022-01-27

Symptoms: Positive to Covid. Symptoms include fever up to 102.9, severe congestion, and lethargy.

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	Asthma	·	·	✓
SD	COVID-19	·	·	✓
SD	Flatulence	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Secretion discharge	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dehydration	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypersensitivity	·	·	✓
SRO	Injection site rash	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Skin odour abnormal	✓	✓	✓
SRO	Superficial injury of eye	✓	✓	✓

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