2UC-12870-71871

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 1 call case

Sex: Male
Age at first dose: 31-35
ZIP prefix: 974 / OR
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

2021-04-06
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 · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Oral herpes, Sensitive skin — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Cold sore, ear pain, and skin sensitivity all on right side of body (shot was on left)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Good · Site: Pain

Free text: Cold sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Good

Free text: cold sore persists.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 21, single dose
MedDRA: Injection site pain — Feeling: Good

Free text: There has been fairly constant soreness around the area of my shot, for the last week or so. It's minor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 28, single dose
MedDRA: Injection site pain — Feeling: Good

Free text: Not new or worsening, but my arm is still mildly sore at the location of the shot, which was 4 weeks ago. I'm not sure if I should be alarmed by this or not. I will probably contact my doctor if this doesn't change soon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 35, single dose
MedDRA: Injected limb mobility decreased, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The soreness in my jab arm is slightly worse, such that I'm unable to perform some specific tasks with it like I normally would. I think I'll reach out to my doctor this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 35, single dose
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-05-31
Call 1 — Left Voicemail
2021-07-06
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-05
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-23
Dose 2 — Moderna
2021-10-28
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Headache, Injection site pain, Myalgia, Pyrexia — Feeling: Good

Free text: Arm is still tender from injection site. Injection day (5 days ago): fever, muscle aches, fatigue, headache, chills. Fatigue and slight fever lasted into the following day.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-11-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2022-04-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-10-23
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Janssen/Johnson & Johnson
2	2021-10-23	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Cold sore, ear pain, and skin sensitivity all on right side of body (shot was on left)

2021-04-11

Systemic reaction (other): Cold sore

2021-04-12

Systemic reaction (other): cold sore persists.

Release 8 — day 21, single dose

2021-04-27

Symptoms: There has been fairly constant soreness around the area of my shot, for the last week or so. It's minor.

Release 8 — day 28, single dose

2021-05-04

Symptoms: Not new or worsening, but my arm is still mildly sore at the location of the shot, which was 4 weeks ago. I'm not sure if I should be alarmed by this or not. I will probably contact my doctor if this doesn't change soon.

Release 8 — day 35, single dose

2021-05-11

Symptoms: The soreness in my jab arm is slightly worse, such that I'm unable to perform some specific tasks with it like I normally would. I think I'll reach out to my doctor this week.

Release 10 — days 1–6 daily, dose 2

2021-10-28

Systemic reaction (other): Arm is still tender from injection site. Injection day (5 days ago): fever, muscle aches, fatigue, headache, chills. Fatigue and slight fever lasted into the following day.

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	Injected limb mobility decreased	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Oral herpes	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Sensitive skin	✓	✓	✓

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