3SQ-13860-81464

4 vaccinations 11 coded responses 30 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 852 / AZ
Registered: 2021-03-08

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Registered dependents

VH3-87774-41054 Adult relative or friend · Male · 2022-10-19

Timeline

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

2021-03-08
Registered in v-safe
2021-03-14
Dose 1 — Janssen/Johnson & Johnson
2021-03-14
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eyes hurt, i just might have a migraine.

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: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 42, single dose
MedDRA: Diarrhoea, Head discomfort, Headache, Hot flush, Ocular discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache with pressure band around head & eyes, hot flashes but no temperature. Diarrhea even with taking prescribed medication for it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — 3 months, dose 1
MedDRA: Ear pain, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, earache & sore throat sometimes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-12
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-10-30
Dose 2 — Pfizer-BioNTech
2021-11-07
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-11-20
Survey response — day 21, dose 2
MedDRA: Ear pain, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraines, earache (left ear), and using inhaler more than usual.

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Survey response — day 28, dose 2
MedDRA: Asthma, Dyspnoea, Headache, Office visit, Pre-existing disease, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Short of breath due to asthma, heachaches due to allergies. Severe itching on legs & forearms for 2 weeks. · Healthcare visit (other): Seen my PCP also

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-31
Survey response — 3 months, dose 2
MedDRA: Decreased appetite, Eye pain, Headache, Photophobia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, eyes hurt (sensitive to light), no appetite.

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Dose 3 — Pfizer-BioNTech
2022-04-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-07
Survey response — day 14, dose 3
MedDRA: Migraine, Oral herpes — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches (migraines) cold sores

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-05-30
Survey response — day 35, dose 3
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraines

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-16
Survey response — day 14, dose 4
MedDRA: Chills, Decreased appetite, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe headaches, chills, nausea, lack of appetite at times

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — day 28, dose 4
MedDRA: Eye irritation, Headache, Nasal congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, nasal congestion & runny nose, & right eye irritation

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-11-16
Survey response — day 42, dose 4
MedDRA: Decreased appetite, Headache, Nasal congestion, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, stuffy & runny nose, chest congestion & loss of appetite. Just might be a cold but who knows.

MedDRA releases: 2024-11 · check-in free text available
2023-04-03
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Janssen/Johnson & Johnson
2	2021-10-30	Pfizer-BioNTech	No
3	2022-04-23	Pfizer-BioNTech	No
4	2022-10-01	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Eyes hurt, i just might have a migraine.

Release 8 — day 42, single dose

2021-04-28

Symptoms: Headache with pressure band around head & eyes, hot flashes but no temperature. Diarrhea even with taking prescribed medication for it.

Release 9 — 3 months, dose 1

2021-06-16

Symptoms: Headache, earache & sore throat sometimes

Release 10 — day 21, dose 2

2021-11-20

Symptoms: Migraines, earache (left ear), and using inhaler more than usual.

Release 10 — day 28, dose 2

2021-11-27

Symptoms: Short of breath due to asthma, heachaches due to allergies. Severe itching on legs & forearms for 2 weeks.

Healthcare visit (other): Seen my PCP also

Release 11 — 3 months, dose 2

2022-01-31

Symptoms: Headaches, eyes hurt (sensitive to light), no appetite.

Release 11 — day 14, dose 3

2022-05-07

Symptoms: Headaches (migraines) cold sores

Release 11 — day 35, dose 3

2022-05-30

Symptoms: Migraines

Release 12 — day 14, dose 4

2022-10-16

Symptoms: Severe headaches, chills, nausea, lack of appetite at times

Release 12 — day 28, dose 4

2022-10-29

Symptoms: Headaches, nasal congestion & runny nose, & right eye irritation

Release 12 — day 42, dose 4

2022-11-16

Symptoms: Headache, stuffy & runny nose, chest congestion & loss of appetite. Just might be a cold but who knows.

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	Asthma	·	·	✓
SD	Chills	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Eye irritation	·	·	✓
SD	Eye pain	·	·	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Migraine	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Ocular discomfort	✓	✓	✓
SD	Oral herpes	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Photophobia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Eye pain	✓	✓	✓

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