3HP-25148-07935

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 675 / KS
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Janssen/Johnson & Johnson
2021-03-30
Health check-in — day 0, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-31
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, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

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

Free text: Extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 28, single dose
MedDRA: Arthralgia, Fatigue, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme hip and leg and feet pain. Continuing increased fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 42, single dose
MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: The continued fatigue was a little worse this week. No energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-28
Survey response — 6 months, dose 1
MedDRA: Bronchitis, Office visit — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Treated for bronchitis about every 2 months times 4. Treated with antibiotics and steroids injections. · Healthcare visit (other): PCP

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Call 1 — Left Voicemail
2021-11-02
Dose 2 — Moderna
2022-03-30
Survey response — 12 months, dose 1
MedDRA: Blood pressure increased, Oedema, Pulmonary fibrosis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Edema. Elevated BP. Pulmonary fibrosis

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-31
Call 1 — Left Voicemail
2022-03-31
Call 1 — Left Voicemail
2022-05-03
Survey response — 6 months, dose 2
MedDRA: Cough, Myalgia, Urinary tract infection — Feeling: Fair · Be unable to work or attend school

Free text: Second UTI, muscle aches and a cough that won't go away

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Interstitial lung disease, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased shortness of breath. Interstitial lung disease · Healthcare visit (other): Regular dr visit

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-03
Call 2 — Left Voicemail
2022-11-03
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Janssen/Johnson & Johnson
2	2021-11-02	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-13

Symptoms: Extreme fatigue

Release 8 — day 28, single dose

2021-04-27

Symptoms: Extreme hip and leg and feet pain. Continuing increased fatigue

Release 8 — day 42, single dose

2021-05-11

Symptoms: The continued fatigue was a little worse this week. No energy

Release 9 — 6 months, dose 1

2021-09-28

Symptoms: Treated for bronchitis about every 2 months times 4. Treated with antibiotics and steroids injections.

Healthcare visit (other): PCP

Release 11 — 12 months, dose 1

2022-03-30

Symptoms: Edema. Elevated BP. Pulmonary fibrosis

Release 11 — 6 months, dose 2

2022-05-03

Symptoms: Second UTI, muscle aches and a cough that won't go away

Release 12 — 12 months, dose 2

2022-11-02

Symptoms: Increased shortness of breath. Interstitial lung disease

Healthcare visit (other): Regular dr visit

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	Asthenia	✓	✓	✓
SD	Blood pressure increased	·	·	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Interstitial lung disease	·	·	✓
SD	Myalgia	·	·	✓
SD	Oedema	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pulmonary fibrosis	·	·	✓
SD	Urinary tract infection	·	·	✓

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