3YX-26262-17931

3 vaccinations 8 coded responses 42 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 208 / MD
Registered: 2021-04-08

Relationship: Self
Race: White
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 · Muscle or body aches

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

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 · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 · Chills, Headache, Muscle or body aches, Nausea

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

Adult check-in
2021-04-30
Survey response — day 21, single dose
MedDRA: Erythema — Feeling: Good

Free text: Small needle sized red marks on my ankles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 28, single dose
MedDRA: Headache, Respiratory tract congestion — Feeling: Fair

Free text: Headache, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-25
Dose 2 — Moderna
2021-10-25
Survey response — day 0, dose 2
MedDRA: Dysgeusia, Facial discomfort, Respiratory tract congestion — Feeling: Good

Free text: Strange taste in my mouth and my left cheekbone area feels a little strange. Almost like congestion.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-22
Survey response — day 28, dose 2
MedDRA: Pilonidal disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My pilonidal cyst has been inflamed and won't drain. Not sure if it's related to my immune system being occupied.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-24
Survey response — 3 months, dose 2
MedDRA: Cough, Nasal dryness, Oropharyngeal pain, Sneezing — Feeling: Fair

Free text: Cough, sore throat, dry nose, sneezing.

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-10-20
Dose 3 — Moderna
2022-10-20
Health check-in — day 0, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-29
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-11-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-11-24
Survey response — day 35, dose 3
MedDRA: Heavy menstrual bleeding, Menstrual disorder — Feeling: Fair

Free text: My period has been going on for 2+ weeks even with having a hormonal IUD. It was also less than 2 weeks since my last period ended.

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Survey response — day 42, dose 3
MedDRA: Heavy menstrual bleeding, Spinal fusion surgery — Feeling: Good

Free text: I've had a period since November 11th and has not stopped. It is now December 1st. It's insanely annoying. I had spinal fusion surgery on November 2nd and I can't see my obgyn for a few more weeks.

MedDRA releases: 2024-11 · check-in free text available
2023-01-19
Survey response — 3 months, dose 3
MedDRA: Fatigue, Headache, Malaise, Respiratory tract congestion, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-21
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Janssen/Johnson & Johnson
2	2021-10-25	Moderna	No
3	2022-10-20	Moderna	No

Free text

Release 8 — day 21, single dose

2021-04-30

Symptoms: Small needle sized red marks on my ankles

Release 8 — day 28, single dose

2021-05-06

Symptoms: Headache, congestion

Release 10 — day 0, dose 2

2021-10-25

Systemic reaction (other): Strange taste in my mouth and my left cheekbone area feels a little strange. Almost like congestion.

Release 10 — day 28, dose 2

2021-11-22

Symptoms: My pilonidal cyst has been inflamed and won't drain. Not sure if it's related to my immune system being occupied.

Release 11 — 3 months, dose 2

2022-01-24

Symptoms: Cough, sore throat, dry nose, sneezing.

Release 12 — day 35, dose 3

2022-11-24

Symptoms: My period has been going on for 2+ weeks even with having a hormonal IUD. It was also less than 2 weeks since my last period ended.

Release 12 — day 42, dose 3

2022-12-01

Symptoms: I've had a period since November 11th and has not stopped. It is now December 1st. It's insanely annoying. I had spinal fusion surgery on November 2nd and I can't see my obgyn for a few more weeks.

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	Cough	·	·	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Malaise	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Nasal dryness	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pilonidal disease	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sneezing	·	·	✓
SD	Spinal fusion surgery	·	·	✓
SRO	Dysgeusia	·	·	✓
SRO	Facial discomfort	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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