47U-20017-92948

2 vaccinations 13 coded responses 24 check-ins 13 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 532 / WI
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Janssen/Johnson & Johnson
2021-04-01
Survey response — day 0, dose 1
MedDRA: Joint stiffness, Joint swelling, Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: I'm having a rheumatological flare up with joint swelling and stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Incontinence, Pelvic floor muscle weakness — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: I have muscle weakness, including pelvic floor muscles. It's causing incontinence.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Bruxism — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Stomach cramping and jaw clenching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Rapid heart rate, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, single dose
MedDRA: Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 21, single dose
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 28, single dose
MedDRA: Hypertension, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My blood pressure is suddenly testing hypertensive. · Healthcare visit (other): Regular office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 28, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Survey response — day 35, single dose
MedDRA: Blood pressure increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My blood pressure keeps going higher

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 35, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Survey response — day 42, single dose
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Blood pressure is now 172/154 regularly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 42, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Call successful
Participant prefers to complete VAERS report online
2021-07-01
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-09-30
Survey response — 6 months, dose 1
MedDRA: Migraine, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Migraine frequency increased

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Dose 2 — Pfizer-BioNTech
2021-10-24
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Eye pain, Irritability — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Eye pain, brain fog, irritability

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Swollen lymph node, left underarm

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · 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: Uveitis flare up attack

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — days 1–6 daily, 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)
2021-10-30
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Call 1 — Left Voicemail
2021-11-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Janssen/Johnson & Johnson
2	2021-10-23	Pfizer-BioNTech	No

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): I'm having a rheumatological flare up with joint swelling and stiffness

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): I have muscle weakness, including pelvic floor muscles. It's causing incontinence.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Stomach cramping and jaw clenching

2021-04-07

Systemic reaction (other): Dizziness

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Rapid heart rate, dizziness

Release 7 — day 21, single dose

2021-04-22

Symptoms: Headache

Release 8 — day 28, single dose

2021-04-29

Symptoms: My blood pressure is suddenly testing hypertensive.

Healthcare visit (other): Regular office visit

Release 8 — day 35, single dose

2021-05-06

Symptoms: My blood pressure keeps going higher

Release 8 — day 42, single dose

2021-05-15

Symptoms: Blood pressure is now 172/154 regularly.

Release 9 — 6 months, dose 1

2021-09-30

Symptoms: Migraine frequency increased

Release 10 — days 1–6 daily, dose 2

2021-10-24

Systemic reaction (other): Eye pain, brain fog, irritability

2021-10-27

Systemic reaction (other): Swollen lymph node, left underarm

2021-10-28

Systemic reaction (other): Uveitis flare up attack

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	Blood pressure increased	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Migraine	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Bruxism	✓	✓	✓
SRO	Condition aggravated	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pain	·	·	✓
SRO	Incontinence	✓	✓	✓
SRO	Irritability	·	·	✓
SRO	Joint stiffness	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pelvic floor muscle weakness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓

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