3MQ-60236-88155

4 vaccinations 13 coded responses 38 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 604 / IL
Registered: 2021-03-07

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-06
Dose 1 — Janssen/Johnson & Johnson
2021-03-07
Registered in v-safe
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Tremor — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work

Free text: Last night I had a very scary episode of uncontrollable shaking for about 30 minutes, around 10:00 last night. It was almost like I was having body seizure

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

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 21, single dose
Feeling: Good

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

Adult check-in
2021-04-12
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-04-19
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-05
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-04
Survey response — 6 months, dose 1
MedDRA: Headache, Office visit, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Vertigo Occasional headaches · Healthcare visit (other): Neurologist appointment

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 2 — Left Voicemail
2021-11-14
Dose 2 — Moderna
2021-11-14
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Too early to tell

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-20
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral coldness — Feeling: Good · Headache, Nausea · Be unable to work or attend school

Free text: Very cold feet

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-20
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Headache, Nausea, Self-medication — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: A few days last week had moderate headaches and nausea and stomach pains. Had to take Tylenol and Tums.

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — day 42, dose 2
MedDRA: Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches and nausea periodically during the last week: maybe family stress, not seasonal.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-05-15
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Fatigue, Headache, Hypersomnia, Loss of personal independence in daily activities, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Today about 11:00am I got a congested headache. I have been 'loggie' all day; slept much; and my tummy is somewhat achy. I did not do my normal Sunday grocery shopping nor a long dinner walk with my dog.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Dose 3 — Moderna
2022-06-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-06-09
Survey response — day 14, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Frequent headaches

MedDRA releases: 2024-11 · check-in free text available
2022-06-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-30
Survey response — day 35, dose 3
MedDRA: Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraines!

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Survey response — day 42, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2022-08-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-02
Dose 4 — Moderna
2022-10-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-13
Survey response — day 42, dose 4
MedDRA: Cough, Medical counselling, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · 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: Symptoms: Very sore throat and some head congestion and much coughing · Healthcare visit (other): Called my primary care physician

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-14
Call 3 — Left Voicemail
2022-11-14
Call 2 — Left Voicemail
2023-01-01
Survey response — 3 months, dose 4
MedDRA: Dyspnoea, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-01
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-03
Call 1 — Left Voicemail
2023-01-03
Call 1 — Left Voicemail
2023-01-03
Call 1 — Left Voicemail
2023-01-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-02
Survey response — 6 months, dose 4
MedDRA: Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Janssen/Johnson & Johnson
2	2021-11-14	Moderna	No
3	2022-05-26	Moderna	No
4	2022-10-02	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Last night I had a very scary episode of uncontrollable shaking for about 30 minutes, around 10:00 last night. It was almost like I was having body seizure

Release 9 — 6 months, dose 1

2021-09-04

Symptoms: Vertigo Occasional headaches

Healthcare visit (other): Neurologist appointment

Release 10 — day 0, dose 2

2021-11-14

Systemic reaction (other): Too early to tell

Release 10 — days 1–6 daily, dose 2

2021-11-20

Systemic reaction (other): Very cold feet

Release 10 — day 35, dose 2

2021-12-20

Symptoms: A few days last week had moderate headaches and nausea and stomach pains. Had to take Tylenol and Tums.

Release 10 — day 42, dose 2

2021-12-26

Symptoms: Headaches and nausea periodically during the last week: maybe family stress, not seasonal.

Release 11 — 6 months, dose 2

2022-05-15

Symptoms: Today about 11:00am I got a congested headache. I have been 'loggie' all day; slept much; and my tummy is somewhat achy. I did not do my normal Sunday grocery shopping nor a long dinner walk with my dog.

Release 12 — day 14, dose 3

2022-06-09

Symptoms: Frequent headaches

Release 12 — day 35, dose 3

2022-06-30

Symptoms: Migraines!

Release 12 — day 42, dose 3

2022-07-07

Symptoms: Headaches

Release 12 — day 42, dose 4

2022-11-13

Symptoms: Very sore throat and some head congestion and much coughing

Healthcare visit (other): Called my primary care physician

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	Medical counselling	·	·	✓
HCVO	Office visit	✓	·	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Hypersomnia	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Migraine	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Self-medication	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vertigo	✓	·	✓
SRO	Peripheral coldness	·	·	✓
SRO	Tremor	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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