378-13163-40634

2 vaccinations 9 coded responses 29 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 620 / IL
Registered: 2021-03-06

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

2021-03-05
Dose 1 — Janssen/Johnson & Johnson
2021-03-06
Registered in v-safe
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Feeling of body temperature change, Hyperhidrosis, Malaise — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweating, hot and cold flashes, general malaise, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Site: Pain

Free text: Bruise at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Site: Pain

Free text: Cough

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

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 42, single dose
MedDRA: Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Currently have sore throat, congestion, fatigue. Also 2 weeks after vax I had a bad headache, abdominal pain. Didnt think anything of it then but now I realize that is a concern because of the J&J recall.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — 3 months, dose 1
MedDRA: Breast tenderness, Dry eye, Vision blurred — Feeling: Good · Be unable to do your normal daily activities

Free text: Dry eyes and sudden blurred visionBreast tenderness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-03
Survey response — 6 months, dose 1
MedDRA: Diarrhoea, Malaise, Pyrexia, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities

Free text: I think I had Covid. I had every symptom except fever and diarrhea. I took a negative home test very early on and could not get scheduled for a PCR test.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-05
Dose 2 — Pfizer-BioNTech
2021-11-05
Survey response — day 0, dose 2
MedDRA: Muscular weakness — Feeling: Good · Fatigue or tiredness

Free text: The arm that got the shot feels tired and weak

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-11-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 28, dose 2
MedDRA: Myalgia, Nodule — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've been having problems with sore muscles & muscle knots. But I don't think it is related.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-04
Survey response — 3 months, dose 2
MedDRA: Chills, Confusional state, Malaise, Myalgia, Oropharyngeal pain, Pyrexia, Sinus disorder, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: I got really sick after New Years with fever, chills, confusion, sinus problems, sneezing, sore throat, and muscle aches for a couple weeks. I am still experiencing sinus issues.

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-11-08
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Janssen/Johnson & Johnson
2	2021-11-05	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Sweating, hot and cold flashes, general malaise, brain fog

2021-03-07

Systemic reaction (other): Bruise at injection site

2021-03-10

Systemic reaction (other): Cough

Release 7 — day 42, single dose

2021-04-16

Symptoms: Currently have sore throat, congestion, fatigue. Also 2 weeks after vax I had a bad headache, abdominal pain. Didnt think anything of it then but now I realize that is a concern because of the J&J recall.

Release 8 — 3 months, dose 1

2021-06-04

Symptoms: Dry eyes and sudden blurred visionBreast tenderness

Release 9 — 6 months, dose 1

2021-09-03

Symptoms: I think I had Covid. I had every symptom except fever and diarrhea. I took a negative home test very early on and could not get scheduled for a PCR test.

Release 10 — day 0, dose 2

2021-11-05

Systemic reaction (other): The arm that got the shot feels tired and weak

Release 10 — day 28, dose 2

2021-12-03

Symptoms: I've been having problems with sore muscles & muscle knots. But I don't think it is related.

Release 11 — 3 months, dose 2

2022-02-04

Symptoms: I got really sick after New Years with fever, chills, confusion, sinus problems, sneezing, sore throat, and muscle aches for a couple weeks. I am still experiencing sinus issues.

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	Breast tenderness	✓	✓	✓
SD	Chills	·	·	✓
SD	Confusional state	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Dry eye	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	·	✓
SD	Myalgia	·	·	✓
SD	Nodule	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test	✓	·	✓
SD	Sinus disorder	·	·	✓
SD	Sneezing	·	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Muscular weakness	·	·	✓

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