3TP-91076-08537

2 vaccinations 12 coded responses 26 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 287 / NC
Registered: 2021-03-11

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

2021-03-10
Dose 1 — Janssen/Johnson & Johnson
2021-03-11
Registered in v-safe
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Malaise, Thirst — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Insatiable thirst beginning three hours after the injection and lasting for a total of about 10 hours. General malaise today. Chills last evening were significant. Less so this morning. Symptoms subsiding after 24 hours from injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Fair · Nausea

Free text: General malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Malaise — Feeling: Fair · Chills, Nausea

Free text: Chills just a couple of times. Slight malaise all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 35, single dose
MedDRA: Chest pain, Painful respiration — Feeling: Good · Be unable to do your normal daily activities

Free text: One week ago, I developed a acute, very sharp pain, on the left side of my chest, just under my breast. I have never experienced such a pain before. It hurt to take a deep breath. It lasted less than 30 minutes. A mild pain returned once afterwards.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 42, single dose
MedDRA: Cough, Rhinorrhoea — Feeling: Good

Free text: Slight cough and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-09
Survey response — 6 months, dose 1
MedDRA: Cough, Nasopharyngitis — Feeling: Fair

Free text: Head cold. Slight cough.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Dose 2 — Moderna
Co-administered: Flu
2021-11-16
Survey response — day 0, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain

Free text: Feeling "off@ but that is after only two hours

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pain, Pyrexia, Thirst — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: This was much better than J&J. Note: I submitted before fully reporting symptoms on day one of JJ in March. Those were :fever 102,3, chills, extreme thirst, aches. Thank you.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-21
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Head cold

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Head cold

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-30
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
2021-12-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-29
Survey response — day 42, dose 2
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: Slight sore throat. Stuffy nose.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Survey response — 3 months, dose 2
MedDRA: Cough, Laryngitis, Oropharyngeal pain — Feeling: Fair · 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: Severe sore throat, laryngitis, cough

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Janssen/Johnson & Johnson
2	2021-11-16	Moderna	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Insatiable thirst beginning three hours after the injection and lasting for a total of about 10 hours. General malaise today. Chills last evening were significant. Less so this morning. Symptoms subsiding after 24 hours from injection.

2021-03-13

Systemic reaction (other): General malaise

2021-03-14

Systemic reaction (other): Chills just a couple of times. Slight malaise all day.

Release 7 — day 35, single dose

2021-04-15

Symptoms: One week ago, I developed a acute, very sharp pain, on the left side of my chest, just under my breast. I have never experienced such a pain before. It hurt to take a deep breath. It lasted less than 30 minutes. A mild pain returned once afterwards. cut off by CDC

Release 7 — day 42, single dose

2021-04-22

Symptoms: Slight cough and runny nose

Release 9 — 6 months, dose 1

2021-09-09

Symptoms: Head cold. Slight cough.

Release 10 — day 0, dose 2

2021-11-16

Systemic reaction (other): Feeling "off@ but that is after only two hours

Release 10 — days 1–6 daily, dose 2

2021-11-17

Systemic reaction (other): This was much better than J&J. Note: I submitted before fully reporting symptoms on day one of JJ in March. Those were :fever 102,3, chills, extreme thirst, aches. Thank you.

2021-11-21

Systemic reaction (other): Head cold

2021-11-22

Systemic reaction (other): Head cold

Release 10 — day 42, dose 2

2021-12-29

Symptoms: Slight sore throat. Stuffy nose.

Release 11 — 3 months, dose 2

2022-02-18

Symptoms: Severe sore throat, laryngitis, cough

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	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Laryngitis	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Painful respiration	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Feeling abnormal	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Pain	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Thirst	✓	✓	✓

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