3T4-30377-99637

3 vaccinations 6 coded responses 34 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 981 / WA
Registered: 2021-04-08

Relationship: Self
Race: Multiracial
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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Janssen/Johnson & Johnson
2021-04-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 21, single dose
MedDRA: Chills — Feeling: Good

Free text: Body chills on Monday (gone the next day)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 28, single dose
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness on Monday morning this week. It cleared up after a couple of hours of being awake.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 42, single dose
MedDRA: Back pain — Feeling: Fair

Free text: Occasional sharp pain on back near kidneys.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Survey response — 3 months, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Yesterday I started to develop a slight throat ache when I swallow. It still persists today. It's not inhibiting any activities.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-05
Dose 2 — Moderna
2021-11-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-11-12
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-19
Survey response — day 14, dose 2
MedDRA: Pain in extremity — Feeling: Fair

Free text: Intermittent sharp pain in forearm.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-05-06
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Fatigue, Headache, Malaise, Nausea, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tested positive for COVID on at home rapid test at the end of March. Fever, Fatigue, Nausea, Diarrhea, Sore Throat, Mucous, Body Aches, Persistent Headache while sick. Cleared up after about 2 weeks. No lingering symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-10-27
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Janssen/Johnson & Johnson
2	2021-11-05	Moderna	No
3	2022-10-27	Pfizer-BioNTech	Flu

Free text

Release 8 — day 21, single dose

2021-04-29

Symptoms: Body chills on Monday (gone the next day)

Release 8 — day 28, single dose

2021-05-06

Symptoms: Dizziness on Monday morning this week. It cleared up after a couple of hours of being awake.

Release 8 — day 42, single dose

2021-05-22

Symptoms: Occasional sharp pain on back near kidneys.

Release 9 — 3 months, dose 1

2021-07-10

Symptoms: Yesterday I started to develop a slight throat ache when I swallow. It still persists today. It's not inhibiting any activities.

Release 10 — day 14, dose 2

2021-11-19

Symptoms: Intermittent sharp pain in forearm.

Release 11 — 6 months, dose 2

2022-05-06

Symptoms: Tested positive for COVID on at home rapid test at the end of March. Fever, Fatigue, Nausea, Diarrhea, Sore Throat, Mucous, Body Aches, Persistent Headache while sick. Cleared up after about 2 weeks. No lingering symptoms.

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	Back pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Unevaluable event	·	·	✓

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