394-22101-99836

2 vaccinations 13 coded responses 24 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 038 / NH
Registered: 2021-03-09

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

2021-03-07
Dose 1 — Janssen/Johnson & Johnson
2021-03-09
Registered in v-safe
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-14
Health check-in — day 7, dose 1
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-21
Survey response — day 14, dose 1
MedDRA: Decreased appetite, Dizziness, Fatigue, Headache, Lymphadenopathy, Musculoskeletal stiffness, Rash pruritic, Vision blurred — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Itchy neck rash, loss of appetite, headache, dizziness, tiredness, swollen neck glands, very stiff neck, blurred vision. Tuesday through Saturday. Somewhat better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 21, single dose
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Painfully stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 28, single dose
MedDRA: Decreased appetite, Headache, Musculoskeletal stiffness, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Neck stiffness moving up to head and bad headacheLack of appetite Other body aches

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

Adult check-in
2021-04-18
Survey response — day 42, single dose
MedDRA: Abdominal pain lower, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aches/pains in lower abdominal muscles? when rising, turning, moving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — 3 months, dose 1
MedDRA: Mobility decreased, Myalgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Severe muscle pains in right back and right arm, limiting bending at elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-06
Survey response — 6 months, dose 1
MedDRA: Arthralgia, Joint swelling, Mobility decreased, Office visit, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Right elbow, forearm, thumb joint have been swollen, sore, and unusable. · Healthcare visit (other): Doctors appointment

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-10
Call 1 — Left Voicemail
2021-10-27
Dose 2 — Moderna
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — day 7, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Intestinal upset

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 14, dose 2
MedDRA: Gait disturbance, Pain, Peripheral swelling — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Right foot swelled up, making walking painful. Stayed home for several days, missing exercise classes.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-24
Survey response — day 28, dose 2
MedDRA: Asthenia, Decreased appetite, Dizziness, Gastrointestinal pain, Nausea, Sleep disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme intestinal pains, sleep interruption, lack of appetite, dizziness, nausea, weakness.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — day 35, dose 2
MedDRA: Gait disturbance, Limb discomfort — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very sore arch muscle in right foot, causing limp and constant discomfort.

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Joint stiffness, Musculoskeletal stiffness, Pain in extremity — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Knee / leg pain & stiffness

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — 12 months, dose 2
MedDRA: Chills, Diarrhoea, Dizziness, Pain, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vomiting, diarrhea, dizziness, chills, aches following booster shot on Oct. 25

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Janssen/Johnson & Johnson
2	2021-10-27	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-21

Symptoms: Itchy neck rash, loss of appetite, headache, dizziness, tiredness, swollen neck glands, very stiff neck, blurred vision. Tuesday through Saturday. Somewhat better today.

Release 6 — day 21, single dose

2021-03-28

Symptoms: Painfully stiff neck

Release 6 — day 28, single dose

2021-04-04

Symptoms: Neck stiffness moving up to head and bad headacheLack of appetite Other body aches

Release 7 — day 42, single dose

2021-04-18

Symptoms: Aches/pains in lower abdominal muscles? when rising, turning, moving.

Release 8 — 3 months, dose 1

2021-06-06

Symptoms: Severe muscle pains in right back and right arm, limiting bending at elbow

Release 9 — 6 months, dose 1

2021-09-06

Symptoms: Right elbow, forearm, thumb joint have been swollen, sore, and unusable.

Healthcare visit (other): Doctors appointment

Release 10 — days 1–6 daily, dose 2

2021-11-02

Systemic reaction (other): Dizziness

Release 10 — day 7, dose 2

2021-11-03

Systemic reaction (other): Intestinal upset

Release 10 — day 14, dose 2

2021-11-11

Symptoms: Right foot swelled up, making walking painful. Stayed home for several days, missing exercise classes.

Release 10 — day 28, dose 2

2021-11-24

Symptoms: Extreme intestinal pains, sleep interruption, lack of appetite, dizziness, nausea, weakness.

Release 10 — day 35, dose 2

2021-12-02

Symptoms: Very sore arch muscle in right foot, causing limp and constant discomfort.

Release 11 — 6 months, dose 2

2022-04-28

Symptoms: Knee / leg pain & stiffness

Release 12 — 12 months, dose 2

2022-10-27

Symptoms: Vomiting, diarrhea, dizziness, chills, aches following booster shot on Oct. 25

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	Abdominal pain lower	✓	✓	✓
SD	Arthralgia	✓	·	✓
SD	Asthenia	·	·	✓
SD	Chills	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Gastrointestinal pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Joint stiffness	·	·	✓
SD	Joint swelling	✓	·	✓
SD	Limb discomfort	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Peripheral swelling	✓	·	✓
SD	Rash pruritic	✓	✓	✓
SD	Sleep disorder	·	·	✓
SD	Vision blurred	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Dizziness	·	·	✓

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