33L-37727-19537

3 vaccinations 10 coded responses 37 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 554 / MN
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Janssen/Johnson & Johnson
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Muscle or body aches

Free text: Pain and swelling in left leg, predated vaccination but has worsened since

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 1
MedDRA: Exposure to SARS-CoV-2 — Feeling: Good · Fatigue or tiredness

Free text: Was notified today of a potential exposure on Monday of this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-31
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 28, single dose
MedDRA: Headache, Nasopharyngitis, Nausea, Respiratory tract congestion — Feeling: Fair · Be unable to work

Free text: Cold like symptoms (congestion, headache), nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-09
Survey response — 3 months, dose 1
MedDRA: Deep vein thrombosis, Pulmonary embolism — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Diagnosed with DVT and PE, now on oral anticoagulant. Not sure this is vax related but it was reported to VAERS.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Call 1 — Left Voicemail
2021-09-08
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-26
Dose 2 — Moderna
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-16
Survey response — day 21, dose 2
MedDRA: Cough — Feeling: Good

Free text: Persistent cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — day 28, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Good

Free text: Persistent cough, getting more congested

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 35, dose 2
MedDRA: Cough — Feeling: Good

Free text: Not really worsening but persistent cough that is getting more bothersome

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-26
Survey response — 6 months, dose 2
MedDRA: Respiratory tract infection — Feeling: Poor · Be unable to work or attend school

Free text: Currently have respiratory infection

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Dose 3 — Moderna
2022-05-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-03
Survey response — 3 months, dose 3
MedDRA: Back pain, Chest pain, Flank pain — Feeling: Good

Free text: back pain, moving to side and front.

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Survey response — 6 months, dose 3
MedDRA: COVID-19, Dyspnoea, Muscular weakness, Pain in extremity, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had COVID in early September. Symptomatic and tested positive for about 12 days. Still have some effects (very short of breath, pain and weakness in legs).

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Janssen/Johnson & Johnson
2	2021-10-26	Moderna	No
3	2022-05-04	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Pain and swelling in left leg, predated vaccination but has worsened since

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Was notified today of a potential exposure on Monday of this week.

Release 7 — day 28, single dose

2021-04-07

Symptoms: Cold like symptoms (congestion, headache), nausea

Release 8 — 3 months, dose 1

2021-06-09

Symptoms: Diagnosed with DVT and PE, now on oral anticoagulant. Not sure this is vax related but it was reported to VAERS.

Release 10 — day 21, dose 2

2021-11-16

Symptoms: Persistent cough

Release 10 — day 28, dose 2

2021-11-23

Symptoms: Persistent cough, getting more congested

Release 10 — day 35, dose 2

2021-11-30

Symptoms: Not really worsening but persistent cough that is getting more bothersome

Release 11 — 6 months, dose 2

2022-04-26

Symptoms: Currently have respiratory infection

Release 12 — 3 months, dose 3

2022-08-03

Symptoms: back pain, moving to side and front.

Release 12 — 6 months, dose 3

2022-11-02

Symptoms: Had COVID in early September. Symptomatic and tested positive for about 12 days. Still have some effects (very short of breath, pain and weakness in legs).

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Deep vein thrombosis	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Flank pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pulmonary embolism	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Respiratory tract infection	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Exposure to SARS-CoV-2	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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