3R4-14046-54385

1 vaccination 8 coded responses 14 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 939 / CA
Registered: 2021-03-13

Relationship: Self
Race: White
Ethnicity: 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
Survey response — day 0, dose 1
MedDRA: Pregnancy — Feeling: Good · Site: Pain

Free text: Im 26 weeks pregnant , its only been 1 hour since injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-03-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Throat irritation — Feeling: Good · Site: Pain · Abdominal pain

Free text: Scratchy throat , ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — day 7, dose 1
MedDRA: Muscle spasms, Pregnancy — Feeling: Good · Muscle or body aches

Free text: Legs cramps during sleep but that is a common pregnancy symptom

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 14, dose 1
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Not sure if its related to vaccine or pregnancy : acid reflux , diarrhea, stomach cramps, chills, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-04-05
Survey response — day 21, single dose
MedDRA: Lacrimation increased, Sneezing, Throat irritation — Feeling: Good

Free text: Scratchy throat, sneezing, watery eyes, could be allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 28, single dose
Feeling: Fair

Adult check-in
2021-04-19
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-25
Survey response — day 42, single dose
MedDRA: Arthralgia, Condition aggravated, Muscle spasms, Pre-existing disease — Feeling: Fair

Free text: Prior to vacc. had Charlie horses n have continued to have at night. Last 2 days C.H felt diff like a ball roll up and down my leg+ I had a hard time ridding it. Usually gone in 10 sec. this time took like 5m. N my inner elbow cramped up later. SORE

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-13
Survey response — 6 months, dose 1
MedDRA: Headache, Oropharyngeal pain, Sneezing — Feeling: Good

Free text: Sore throat , headaches, sneezes ; could be allergies

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Survey response — 12 months, dose 1
MedDRA: COVID-19, Hypersensitivity, Malaise, Pre-existing disease — 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: COVID and post symptoms , and a severe allergy flare up

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
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)
2022-03-14
Call 1 — Could Not Reach Participant
2022-03-17
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Janssen/Johnson & Johnson

Call center

Reported	Outcome	VAERS-related outcome
2021-03-14	priority 2/3
2021-03-15	priority 2/3
2021-03-27	priority 2/3
2022-03-13	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-13

Systemic reaction (other): Im 26 weeks pregnant , its only been 1 hour since injection

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Scratchy throat , ear ache

Release 6 — day 7, dose 1

2021-03-20

Systemic reaction (other): Legs cramps during sleep but that is a common pregnancy symptom

Release 6 — day 14, dose 1

2021-03-27

Symptoms: Not sure if its related to vaccine or pregnancy : acid reflux , diarrhea, stomach cramps, chills, fatigue

Release 6 — day 21, single dose

2021-04-05

Symptoms: Scratchy throat, sneezing, watery eyes, could be allergies

Release 7 — day 42, single dose

2021-04-25

Symptoms: Prior to vacc. had Charlie horses n have continued to have at night. Last 2 days C.H felt diff like a ball roll up and down my leg+ I had a hard time ridding it. Usually gone in 10 sec. this time took like 5m. N my inner elbow cramped up later. SORE cut off by CDC

Release 9 — 6 months, dose 1

2021-09-13

Symptoms: Sore throat , headaches, sneezes ; could be allergies

Release 11 — 12 months, dose 1

2022-03-13

Symptoms: COVID and post symptoms , and a severe allergy flare up

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	Arthralgia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Lacrimation increased	✓	✓	✓
SD	Malaise	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pregnancy	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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