459-17185-70592

2 vaccinations 10 coded responses 29 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 535 / WI
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Janssen/Johnson & Johnson
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Flatulence — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Bad gas, but I also have a slow intestine so for a normal person it could be diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — day 7, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Fever · Fatigue or tiredness, Nausea

Free text: That overall feeling you're coming down with something

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-04-30
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-02
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-30
Survey response — 6 months, dose 1
MedDRA: Cough, Secretion discharge — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Mucus and severe cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Dose 2 — Moderna
2021-11-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-11-30
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Fair · Site: Pain

Free text: Pain in armpit I believe to be a swollen lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache

Free text: Armpit pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good

Free text: Pain in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Headache

Free text: Small amount of pain in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes in neck and armpit

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-12-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-26
Survey response — day 28, dose 2
MedDRA: Back pain, Cardiac flutter, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart flutters(could be from stress with holidays), upper back pain (could be from extra work hours) · Healthcare visit (other): Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-28
Call 1 — Left Voicemail
2022-01-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2022-01-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-02-27
Survey response — 3 months, dose 2
MedDRA: Lymphadenopathy, Nasopharyngitis — Feeling: Poor · Be unable to work or attend school

Free text: Cold with swollen lymph nodes in neck

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-11-28
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Janssen/Johnson & Johnson
2	2021-11-28	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Bad gas, but I also have a slow intestine so for a normal person it could be diarrhea

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): That overall feeling you're coming down with something

Release 9 — 6 months, dose 1

2021-09-30

Symptoms: Mucus and severe cough

Release 10 — days 1–6 daily, dose 2

2021-11-30

Systemic reaction (other): Pain in armpit I believe to be a swollen lymph node

2021-12-01

Systemic reaction (other): Armpit pain

2021-12-02

Systemic reaction (other): Pain in armpit

2021-12-03

Systemic reaction (other): Small amount of pain in armpit

2021-12-04

Systemic reaction (other): Swollen lymph nodes in neck and armpit

Release 10 — day 28, dose 2

2021-12-26

Symptoms: Heart flutters(could be from stress with holidays), upper back pain (could be from extra work hours)

Healthcare visit (other): Chiropractor

Release 11 — 3 months, dose 2

2022-02-27

Symptoms: Cold with swollen lymph nodes in neck

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	Back pain	·	·	✓
SD	Cardiac flutter	·	·	✓
SD	Cough	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Secretion discharge	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓

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