3E2-33665-46392

4 vaccinations 11 coded responses 43 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 242 / VA
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Janssen/Johnson & Johnson
2021-03-17
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Survey response — day 21, single dose
MedDRA: Arthralgia, Office visit, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in hips and thighs very severe · Healthcare visit (other): Regular visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 21, single dose
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Survey response — day 28, single dose
MedDRA: Seasonal allergy, Sinus headache — Feeling: Fair

Free text: Seasonal allergies are really bad along with bad sinus headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 35, single dose
MedDRA: Diarrhoea, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body aches, diarrhea, severe headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 42, single dose
MedDRA: Dry skin, Erythema — Feeling: Fair

Free text: Dry and red patches on both legs in various places.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Call 1 — Left Voicemail
2021-06-16
Survey response — 3 months, dose 1
MedDRA: Psoriasis, Rash — Feeling: Good

Free text: Rash on my right arm and what looks a little like psoriasis on both legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-15
Survey response — 6 months, dose 1
MedDRA: Cough, Headache, Migraine, Office visit, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sick headaches and migraines. Rash in various places on my legs. Chronic coughing. · Healthcare visit (other): In person doctors visits.

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-16
Call 1 — Left Voicemail
2021-11-01
Dose 2 — Moderna
2021-11-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-11-06
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Free text: Have had a sore throat since shot

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Survey response — day 14, dose 2
MedDRA: Decreased appetite, Tremor — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shaking all over and no appetite

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-11-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-12-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-31
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-04-13
Dose 4 — Moderna
2022-04-13
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-04-20
Health check-in — day 7, dose 4
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-27
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-18
Survey response — day 35, dose 4
MedDRA: Arthralgia, Back pain, Musculoskeletal chest pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Possibly costochrondis. Sharp pain iin back, shoulder and ribs

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-13
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-12
Survey response — 6 months, dose 4
MedDRA: Cough, Office visit, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Wheezing and coughing · Healthcare visit (other): Pcp appointment

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-13
Call 2 — Left Voicemail
2022-10-13
Call 2 — Left Voicemail
2022-10-13
Call 1 — Left Voicemail
2023-04-13
Survey response — 12 months, dose 4
MedDRA: Sinusitis, Urinary tract infection — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Janssen/Johnson & Johnson
2	2021-11-01	Moderna	No
3	2021-11-02	Moderna	No
4	2022-04-13	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, single dose

2021-04-07

Symptoms: Pain in hips and thighs very severe

Healthcare visit (other): Regular visit

Release 7 — day 28, single dose

2021-04-14

Symptoms: Seasonal allergies are really bad along with bad sinus headache

Release 7 — day 35, single dose

2021-04-21

Symptoms: Body aches, diarrhea, severe headaches

Release 8 — day 42, single dose

2021-04-28

Symptoms: Dry and red patches on both legs in various places.

Release 9 — 3 months, dose 1

2021-06-16

Symptoms: Rash on my right arm and what looks a little like psoriasis on both legs

Release 9 — 6 months, dose 1

2021-09-15

Symptoms: Sick headaches and migraines. Rash in various places on my legs. Chronic coughing.

Healthcare visit (other): In person doctors visits.

Release 10 — days 1–6 daily, dose 2

2021-11-06

Systemic reaction (other): Have had a sore throat since shot

Release 10 — day 14, dose 2

2021-11-15

Symptoms: Shaking all over and no appetite

Release 11 — day 35, dose 4

2022-05-18

Symptoms: Possibly costochrondis. Sharp pain iin back, shoulder and ribs

Release 12 — 6 months, dose 4

2022-10-12

Symptoms: Wheezing and coughing

Healthcare visit (other): Pcp appointment

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	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	·	·	✓
SD	Musculoskeletal chest pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Psoriasis	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Seasonal allergy	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Tremor	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Wheezing	·	·	✓
SRO	Oropharyngeal pain	·	·	✓

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