3HR-16795-09473

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 3 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 606 / IL
Registered: 2021-03-13

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
2021-03-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Feeling very hot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Headache — Feeling: Good · Fatigue or tiredness

Free text: Just a light off feeling and mild headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-13
Survey response — 6 months, dose 1
MedDRA: Sinus disorder, Throat irritation — 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 · Outpatient clinic or urgent care clinic visit

Free text: Periodic scratchy throat, some sinus trouble.

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Report sent to call center — 6 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

1 call case(s)
2021-09-17
Call 1 — Left Voicemail
2021-10-26
Dose 2 — Moderna
Co-administered: Flu
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-01
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion, Throat irritation — Feeling: Poor · Be unable to do your normal daily activities

Free text: Irritated throat, light chest congestion, a minor urge to cough.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — day 14, dose 2
MedDRA: Fatigue, Malaise, Oropharyngeal pain — Feeling: Fair

Free text: Continue to have bouts of a sore throat; new is some fatigue and general sick feeling.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-27
Survey response — 3 months, dose 2
MedDRA: Chest discomfort, Cough, Headache, Laryngitis, Oropharyngeal pain, Pain in extremity, Parosmia, Respiratory tract congestion — 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: Sore throat, cough, tightness and congestion in chest, pain in thigh, presence of bleach smell when breathing in, laryngitis, headache.

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 3 months, dose 2
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)
2022-01-31
Call 1 — Could Not Reach Participant
2022-02-03
Call 2 — Left Voicemail
2022-04-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-10-26
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · 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: COVID in Jan 2022

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Report sent to call center — 12 months, dose 2
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)
2022-10-27
Call 2 — Left Voicemail
2022-10-27
Call 3 — Left Voicemail
2022-10-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Janssen/Johnson & Johnson
2	2021-10-26	Moderna	Flu

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Feeling very hot

2021-03-16

Systemic reaction (other): Just a light off feeling and mild headache

2021-03-17

Systemic reaction (other): Sore throat

2021-03-18

Systemic reaction (other): Scratchy throat

Release 9 — 6 months, dose 1

2021-09-13

Symptoms: Periodic scratchy throat, some sinus trouble.

Release 10 — days 1–6 daily, dose 2

2021-11-01

Systemic reaction (other): Irritated throat, light chest congestion, a minor urge to cough.

Release 10 — day 7, dose 2

2021-11-02

Systemic reaction (other): Sore throat

Release 10 — day 14, dose 2

2021-11-09

Symptoms: Continue to have bouts of a sore throat; new is some fatigue and general sick feeling.

Release 11 — 3 months, dose 2

2022-01-27

Symptoms: Sore throat, cough, tightness and congestion in chest, pain in thigh, presence of bleach smell when breathing in, laryngitis, headache.

Release 12 — 12 months, dose 2

2022-10-26

Symptoms: COVID in Jan 2022

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	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Laryngitis	·	·	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Parosmia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Cough	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Throat irritation	✓	✓	✓

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