35V-19994-94129

2 vaccinations 16 coded responses 30 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 207 / MD
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Janssen/Johnson & Johnson
2021-03-11
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Joint pains

Free text: Soreness where the shot was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 35, single dose
MedDRA: Office visit, Peripheral swelling, Skin discolouration — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swelling in feet and legs with dark marks. Went to the doctor, was testing for blood clots and there was no signs of it. I took the Johnson and Johnson vaccine and was being cautious. · Healthcare visit (other): Visited doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 35, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-04-23
Call 1 — Left Voicemail
2021-06-10
Survey response — 3 months, dose 1
MedDRA: Joint range of motion decreased, Nodule — Feeling: Good · Be unable to do your normal daily activities

Free text: Left arm has a small knot, and can barely lift my left arm.

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

Adult check-in
2021-12-20
Dose 2 — Pfizer-BioNTech
2021-12-20
Health check-in — day 0, dose 2
Feeling: Fair · Chills

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-22
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Just feel weak

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I'm wondering if I had Covid before getting booster

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-26
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Keep waking in sweats, severe pain in back of head

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Headache is getting milder

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — day 14, dose 2
MedDRA: Headache, Muscular weakness, Night sweats — Feeling: Fair · Be unable to do your normal daily activities

Free text: Night sweats, light headache, legs weak

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Survey response — day 21, dose 2
MedDRA: Asthenia, Chills, Cough, Fatigue, Hyperhidrosis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still having sweats and severe cough and tiredness. I'm weak at times. Chills

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — day 28, dose 2
MedDRA: Cough, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Can't get rid of the cough, sometimes headaches, feel fatigued

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Headache, Office visit — 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

Free text: Symptoms: Can't get rid of this terrible cough and slight headaches. Felling fatigued. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-25
Call 1 — Could Not Reach Participant
2022-01-31
Survey response — day 42, dose 2
MedDRA: Cough, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still coughing a lot, minor headaches, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Call 2 — Left Voicemail
2022-03-21
Survey response — 3 months, dose 2
MedDRA: Cough, Dyspnoea, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Prolonged cough and tiredness. Shortness of breath.

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Survey response — 6 months, dose 2
MedDRA: Brain fog, Fatigue, Headache — 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

Free text: Brain fog and tiredness and headaches at times

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-22
Call successful
Does not wish to fill out VAERS report
2022-12-20
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Good

Free text: Shortness of breath. Feeling fatigued

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Janssen/Johnson & Johnson
2	2021-12-20	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): None

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Soreness where the shot was given.

Release 7 — day 35, single dose

2021-04-15

Symptoms: Swelling in feet and legs with dark marks. Went to the doctor, was testing for blood clots and there was no signs of it. I took the Johnson and Johnson vaccine and was being cautious.

Healthcare visit (other): Visited doctor

Release 9 — 3 months, dose 1

2021-06-10

Symptoms: Left arm has a small knot, and can barely lift my left arm.

Release 10 — days 1–6 daily, dose 2

2021-12-22

Systemic reaction (other): Just feel weak

2021-12-23

Systemic reaction (other): I'm wondering if I had Covid before getting booster

2021-12-26

Systemic reaction (other): Keep waking in sweats, severe pain in back of head

Release 10 — day 7, dose 2

2021-12-27

Systemic reaction (other): Headache is getting milder

Release 10 — day 14, dose 2

2022-01-03

Symptoms: Night sweats, light headache, legs weak

Release 10 — day 21, dose 2

2022-01-10

Symptoms: Still having sweats and severe cough and tiredness. I'm weak at times. Chills

Release 10 — day 28, dose 2

2022-01-17

Symptoms: Can't get rid of the cough, sometimes headaches, feel fatigued

Release 11 — day 35, dose 2

2022-01-24

Symptoms: Can't get rid of this terrible cough and slight headaches. Felling fatigued.

Healthcare visit (other): Office visit

Release 11 — day 42, dose 2

2022-01-31

Symptoms: Still coughing a lot, minor headaches, fatigue

Release 11 — 3 months, dose 2

2022-03-21

Symptoms: Prolonged cough and tiredness. Shortness of breath.

Release 12 — 6 months, dose 2

2022-06-21

Symptoms: Brain fog and tiredness and headaches at times

Release 12 — 12 months, dose 2

2022-12-20

Symptoms: Shortness of breath. Feeling fatigued

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	Asthenia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Joint range of motion decreased	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Night sweats	·	·	✓
SD	Nodule	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Skin discolouration	✓	✓	✓
SRO	Asthenia	·	·	✓
SRO	Headache	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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