3B4-27670-12860

3 vaccinations 11 coded responses 44 check-ins 11 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 985 / WA
Registered: 2021-03-16

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-15
Dose 1 — Janssen/Johnson & Johnson
2021-03-16
Registered in v-safe
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-03-22
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-05
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-04-12
Survey response — day 28, single dose
MedDRA: Cough, Nasal pruritus, Pain, Rhinorrhoea — Feeling: Poor

Free text: Runny nose, itchy nose coughing body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 35, single dose
MedDRA: Cough, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Cant get rid of cough, tired · Healthcare visit (other): For cough med

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 35, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — day 42, single dose
MedDRA: Cough, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Still cant get rid of this cough. Received cough medicine prescribed by my doctor. · Healthcare visit (other): Medication

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 42, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-06-14
Survey response — 3 months, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-15
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2022-03-15
Survey response — 12 months, dose 1
MedDRA: Chills, Cough, Decreased appetite, Fatigue, Hyperhidrosis, Pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body aches chills sweat fatigue loss of appetite cough runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Dose 2 — Janssen/Johnson & Johnson
2022-04-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Abdominal pain

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Abdominal pain

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches

Adult check-in
2022-04-30
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches

Adult check-in
2022-05-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2022-05-14
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2022-05-21
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2022-05-28
Survey response — day 35, dose 2
MedDRA: Cold sweat — Feeling: Fair

Free text: Cold sweats

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Survey response — day 42, dose 2
MedDRA: Dyspnoea — Feeling: Fair

Free text: It's like Im not using the full of breathing

MedDRA releases: 2024-11 · check-in free text available
2022-07-24
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-10-22
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-10-25
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-10-25
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2022-11-01
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2022-11-08
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-11-15
Survey response — day 21, dose 3
MedDRA: Chills, Cough, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Runny nose Chills. Feverish Cough

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Survey response — day 28, dose 3
MedDRA: Ageusia, Anosmia, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: No taste no smell runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Survey response — day 35, dose 3
MedDRA: Cough, Fatigue — Feeling: Poor

Free text: Can't get rid of this cough, feeling tired

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Survey response — day 42, dose 3
MedDRA: Cough, Rhinorrhoea — Feeling: Fair

Free text: Still got cough and runny nose

MedDRA releases: 2024-11 · check-in free text available
2023-01-24
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Janssen/Johnson & Johnson
2	2022-04-23	Janssen/Johnson & Johnson	No
3	2022-10-25	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 28, single dose

2021-04-12

Symptoms: Runny nose, itchy nose coughing body aches

Release 7 — day 35, single dose

2021-04-19

Symptoms: Cant get rid of cough, tired

Healthcare visit (other): For cough med

Release 8 — day 42, single dose

2021-04-26

Symptoms: Still cant get rid of this cough. Received cough medicine prescribed by my doctor.

Healthcare visit (other): Medication

Release 9 — 3 months, dose 1

2021-06-14

Symptoms: Headache

Release 11 — 12 months, dose 1

2022-03-15

Symptoms: Body aches chills sweat fatigue loss of appetite cough runny nose

Release 11 — day 35, dose 2

2022-05-28

Symptoms: Cold sweats

Release 11 — day 42, dose 2

2022-06-04

Symptoms: It's like Im not using the full of breathing

Release 12 — day 21, dose 3

2022-11-15

Symptoms: Runny nose Chills. Feverish Cough

Release 12 — day 28, dose 3

2022-11-22

Symptoms: No taste no smell runny nose

Release 12 — day 35, dose 3

2022-11-29

Symptoms: Can't get rid of this cough, feeling tired

Release 12 — day 42, dose 3

2022-12-07

Symptoms: Still got cough and runny nose

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	Cough	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Chills	·	·	✓
SD	Cold sweat	·	·	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	·	·	✓
SD	Nasal pruritus	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	✓	✓	✓

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