45B-22052-68819

3 vaccinations 7 coded responses 40 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 480 / MI
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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Janssen/Johnson & Johnson
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia — Feeling: Good

Free text: Slept 10 hours last night, 3 hours more than usual.

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: Hypersomnia — Feeling: Good

Free text: Slept longer again last night, close to 10 hours rather than the usual 7.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Still a little tired, but better than the last 2 check-ins. No other issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — day 7, dose 1
MedDRA: Dyspepsia — Feeling: Fair

Free text: Acid indigestion, 2nd day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-10
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-09
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-29
Dose 2 — Moderna
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 35, dose 2
MedDRA: Gallbladder disorder — Feeling: Good · Be unable to work or attend school

Free text: Gallbladder attack, it's now scheduled to be removed 12/16. Great Christmas present, right?!

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-28
Survey response — 3 months, dose 2
MedDRA: Biliary colic, Cholecystectomy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization

Free text: Gallbladder attack, had laparoscopic surgery to have my gallbladder removed 12/2021.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
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

Telehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
2022-02-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-06-17
Dose 3 — Moderna
2022-06-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2022-06-22
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease, Sneezing — Feeling: Good

Free text: Sneezing, probably allergies

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-06-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-07-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-07-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-07-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-07-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-09-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-06-17
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Janssen/Johnson & Johnson
2	2021-10-29	Moderna	No
3	2022-06-17	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Slept 10 hours last night, 3 hours more than usual.

2021-03-14

Systemic reaction (other): Slept longer again last night, close to 10 hours rather than the usual 7.

2021-03-15

Systemic reaction (other): Still a little tired, but better than the last 2 check-ins. No other issues.

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Acid indigestion, 2nd day

Release 10 — day 35, dose 2

2021-12-03

Symptoms: Gallbladder attack, it's now scheduled to be removed 12/16. Great Christmas present, right?!

Release 11 — 3 months, dose 2

2022-01-28

Symptoms: Gallbladder attack, had laparoscopic surgery to have my gallbladder removed 12/2021.

Release 12 — days 1–6 daily, dose 3

2022-06-22

Systemic reaction (other): Sneezing, probably allergies

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	Biliary colic	·	·	✓
SD	Cholecystectomy	·	·	✓
SD	Gallbladder disorder	·	·	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Sneezing	·	·	✓

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