3LZ-27875-62431

2 vaccinations 11 coded responses 21 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 765 / TX
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Janssen/Johnson & Johnson
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Parosmia — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Strange smells

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 14, dose 1
MedDRA: Allergic respiratory symptom — Feeling: Fair

Free text: Allergies/sinus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-20
Survey response — day 35, single dose
MedDRA: Abdominal pain upper, Cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Small cough, stomach ache allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-09-14
Survey response — 6 months, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Lingering fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Dose 2 — Pfizer-BioNTech
2021-10-31
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Rash including the area, shown up 5 days after injection

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Pain, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue, aches all over, ringing in ears, headache

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — day 21, dose 2
MedDRA: Back pain, Headache, Malaise, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Aches and pains, headaches, backache and generally not feeling well.

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Pain, Unevaluable event — Feeling: Poor · Be unable to work or attend school

Free text: Fatigue, headache, balance, aches and pains

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Survey response — day 35, dose 2
MedDRA: Headache, Malaise, Pain, Vomiting — Feeling: Poor · Be unable to work or attend school

Free text: Major headache, aches and pains, vomiting, overall not feeling good.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — day 42, dose 2
MedDRA: Balance disorder, Fatigue, Headache, Tinnitus, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very fatigue, ringing in ears, headache, vision problems as well as some balancing problems

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Janssen/Johnson & Johnson
2	2021-10-24	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Strange smells

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Allergies/sinus

Release 7 — day 35, single dose

2021-04-20

Symptoms: Small cough, stomach ache allergies

Release 9 — 6 months, dose 1

2021-09-14

Symptoms: Lingering fatigue

Release 10 — day 7, dose 2

2021-10-31

Systemic reaction (other): Rash including the area, shown up 5 days after injection

Release 10 — day 14, dose 2

2021-11-08

Symptoms: Extreme fatigue, aches all over, ringing in ears, headache

Release 10 — day 21, dose 2

2021-11-14

Symptoms: Aches and pains, headaches, backache and generally not feeling well.

Release 10 — day 28, dose 2

2021-11-21

Symptoms: Fatigue, headache, balance, aches and pains

Release 10 — day 35, dose 2

2021-11-28

Symptoms: Major headache, aches and pains, vomiting, overall not feeling good.

Release 10 — day 42, dose 2

2021-12-05

Symptoms: Very fatigue, ringing in ears, headache, vision problems as well as some balancing problems

Release 11 — 6 months, dose 2

2022-04-26

Symptoms: Fatigue

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	Abdominal pain upper	✓	✓	✓
SD	Allergic respiratory symptom	✓	✓	✓
SD	Back pain	·	·	✓
SD	Balance disorder	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Pain	·	·	✓
SD	Tinnitus	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Visual impairment	·	·	✓
SD	Vomiting	·	·	✓
SRO	Parosmia	✓	✓	✓
SRO	Rash	·	·	✓

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