3CP-22434-02259

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 956 / CA
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Janssen/Johnson & Johnson
2021-03-30
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Chills, Headache

Free text: I just got my Johnson & Johnson vaccine about 5pm Pacific Standard time today (3/30/21), so I'm sure most symptoms won't be starting yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia, Pyrexia — Feeling: Fair · Fever · Muscle or body aches

Free text: Muscle and joint pain was upon waking at 5:00 a.m.. No more as of 2:30 p.m. Also, My normal temperature is 96.5 or 97.5 so when I hit 98.6 or 99Â°...that's a fever for me. Other then that, I am fearful I'm not building up antibodies... as I'm not having arm pain or any other flu like symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Injection site pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: My arm is a little sore at the site of the injection, but not bad & more tired than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme dizziness started yesterday evening through today. Walking driving.. doing anything makes me dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness!

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-13
Survey response — day 14, dose 1
MedDRA: Arthralgia, Dizziness, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad Headache on one side, continued dizziness on and off. Achy joints throughout my body. Wherever there is a joint, it hurts!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 21, single dose
MedDRA: Arthralgia, Joint swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen painful joints. NEVER HAD THIS HAPPEN!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 28, single dose
MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Elevated temperature and swollen joints and muscle soreness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 35, single dose
MedDRA: Arthralgia, Dizziness, Joint swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness and continued joint pain and swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 42, single dose
MedDRA: Arthralgia, Joint swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen, painful joints!!!! STILL!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-29
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-09
Dose 2 — Moderna
2021-12-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-12-16
Survey response — day 7, dose 2
MedDRA: Dizziness, Headache, Vertigo — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Bad headache! Dizziness, Vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Survey response — day 21, dose 2
MedDRA: Aphonia, Cough, Dizziness, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Bad headache, dizziness, coughing, lost voice. Will take over the counter covid test tomorrow

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-06-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Janssen/Johnson & Johnson
2	2021-12-09	Moderna	No

Free text

Release 6 — day 0, dose 1

2021-03-30

Systemic reaction (other): I just got my Johnson & Johnson vaccine about 5pm Pacific Standard time today (3/30/21), so I'm sure most symptoms won't be starting yet.

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Muscle and joint pain was upon waking at 5:00 a.m.. No more as of 2:30 p.m. Also, My normal temperature is 96.5 or 97.5 so when I hit 98.6 or 99Â°...that's a fever for me. Other then that, I am fearful I'm not building up antibodies... as I'm not having arm pain or any other flu like symptoms.

2021-04-01

Systemic reaction (other): My arm is a little sore at the site of the injection, but not bad & more tired than usual.

2021-04-02

Systemic reaction (other): Extreme dizziness started yesterday evening through today. Walking driving.. doing anything makes me dizzy

2021-04-03

Systemic reaction (other): Dizziness!

Release 7 — day 14, dose 1

2021-04-13

Symptoms: Bad Headache on one side, continued dizziness on and off. Achy joints throughout my body. Wherever there is a joint, it hurts!

Release 7 — day 21, single dose

2021-04-20

Symptoms: Swollen painful joints. NEVER HAD THIS HAPPEN!!!

Release 8 — day 28, single dose

2021-04-27

Symptoms: Elevated temperature and swollen joints and muscle soreness.

Release 8 — day 35, single dose

2021-05-06

Symptoms: Dizziness and continued joint pain and swelling.

Release 8 — day 42, single dose

2021-05-13

Symptoms: Swollen, painful joints!!!! STILL!!

Release 10 — day 7, dose 2

2021-12-16

Systemic reaction (other): Bad headache! Dizziness, Vertigo

Release 10 — day 21, dose 2

2022-01-01

Symptoms: Bad headache, dizziness, coughing, lost voice. Will take over the counter covid test tomorrow

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	Aphonia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Myalgia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Vertigo	·	·	✓

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