3SU-14324-08332

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 2 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 986 / WA
Registered: 2021-04-12

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

2021-04-12
Registered in v-safe
2021-04-12
Dose 1 — Janssen/Johnson & Johnson
2021-04-12
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Good · Site: Pain

Free text: Not sue if I had a fever, but I woke up with a full body sweat this morning. Very unusual for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-17
Survey response — day 35, single dose
MedDRA: Atrial fibrillation, Chest pain, Dyspnoea, Emergency care — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Mild chest discomfort, shortness of breath. Fitbit ECG app indicates signs of AFIB. Currently in ER getting checked out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 35, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-24
Survey response — day 42, single dose
MedDRA: Chest discomfort, Palpitations — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Tightness in chest, short of breath, heart palpitations, possible AFIB

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 42, single dose
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Call 1 — Left Voicemail
2021-07-13
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-11
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-02
Dose 2 — Moderna
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-16
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache, Nasal congestion, Nasopharyngitis — Feeling: Good

Free text: Cold symptoms, headache, stuffy nose, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Survey response — 3 months, dose 2
MedDRA: Chills, Cough, Headache, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities

Free text: I became symptomatic with Covid on January 23 and tested positive with a rapid antigen test January 24. Symptoms included cough, runny nose, fever, chills, bodyaches, headache. Symptoms lasted approximately 4 to 5 days and it is now resolved.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-11-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Janssen/Johnson & Johnson
2	2021-11-02	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Not sue if I had a fever, but I woke up with a full body sweat this morning. Very unusual for me.

Release 8 — day 35, single dose

2021-05-17

Symptoms: Mild chest discomfort, shortness of breath. Fitbit ECG app indicates signs of AFIB. Currently in ER getting checked out

Release 8 — day 42, single dose

2021-05-24

Symptoms: Tightness in chest, short of breath, heart palpitations, possible AFIB

Release 10 — day 42, dose 2

2021-12-16

Symptoms: Cold symptoms, headache, stuffy nose, fatigue

Release 11 — 3 months, dose 2

2022-02-01

Symptoms: I became symptomatic with Covid on January 23 and tested positive with a rapid antigen test January 24. Symptoms included cough, runny nose, fever, chills, bodyaches, headache. Symptoms lasted approximately 4 to 5 days and it is now resolved.

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	Atrial fibrillation	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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