3AQ-11362-99466

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 996 / AK
Registered: 2021-05-10

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

2021-05-10
Registered in v-safe
2021-05-10
Dose 1 — Janssen/Johnson & Johnson
2021-05-10
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Many of these are symptoms common to my chronic health challenges

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease, Rash — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Rash is consistent with a flare of my usual chronic health condition

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: All above symptoms are consistent with my chronic health challenges. In hindsight, the first two days were likely reaction to the vaccine. Hard to tell if the lingering fatigue is it or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Symptoms consistent with chronic health challenges

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-24
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-06-09
Survey response — day 28, single dose
MedDRA: Arthralgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Increased joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 35, single dose
MedDRA: Arthralgia, Fatigue, Somnolence — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Continuing increased joint pain, and also significant fatigue/daytime sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-08-11
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-11-11
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-17
Dose 2 — Moderna
2021-12-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-21
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Vertigo — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Increased vertigo/disequilibrium

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-12-24
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-31
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to work or attend school

Free text: Continuing to experience mild to moderate daily headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Daily headaches

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2022-01-29
Survey response — day 42, dose 2
MedDRA: Cough, Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue, headache, cough, sore throat, body aches. All but fatigue are mild after close contact exposure to COVID positive friends.

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-10	Janssen/Johnson & Johnson
2	2021-12-17	Moderna	No

Free text

Release 8 — day 0, dose 1

2021-05-10

Systemic reaction (other): Many of these are symptoms common to my chronic health challenges

Release 8 — days 1–6 daily, dose 1

2021-05-11

Systemic reaction (other): Rash is consistent with a flare of my usual chronic health condition

2021-05-13

Systemic reaction (other): All above symptoms are consistent with my chronic health challenges. In hindsight, the first two days were likely reaction to the vaccine. Hard to tell if the lingering fatigue is it or not.

2021-05-15

Systemic reaction (other): Symptoms consistent with chronic health challenges

Release 9 — day 28, single dose

2021-06-09

Symptoms: Increased joint pain.

Release 9 — day 35, single dose

2021-06-15

Symptoms: Continuing increased joint pain, and also significant fatigue/daytime sleepiness

Release 10 — days 1–6 daily, dose 2

2021-12-21

Systemic reaction (other): Increased vertigo/disequilibrium

Release 10 — day 14, dose 2

2021-12-31

Symptoms: Continuing to experience mild to moderate daily headaches.

Release 10 — day 21, dose 2

2022-01-09

Symptoms: Daily headaches

Release 11 — day 42, dose 2

2022-01-29

Symptoms: Fatigue, headache, cough, sore throat, body aches. All but fatigue are mild after close contact exposure to COVID positive friends.

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	Arthralgia	✓	✓	✓
SD	Cough	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Balance disorder	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Vertigo	·	·	✓

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