4G3-25305-82393

3 vaccinations 12 coded responses 42 check-ins 11 free-text entries 1 call case

Sex: —
Age at first dose: 66+
ZIP prefix: 015 / MA
Registered: 2021-03-08

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Janssen/Johnson & Johnson
2021-03-08
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness

Free text: Difficulty sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Good · Fatigue or tiredness

Free text: Night sweats 3 nights may be related to other conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-07
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-08
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-24
Dose 2 — Moderna
2021-12-25
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling

Free text: Slight itchy or prickly skin. May be due to cancer treatment

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Cancer symptoms and cancer drugs overlap some of above none new

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Survey response — days 1–6 daily, dose 2
MedDRA: Neoplasm malignant, Night sweats — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Night sweats most likely from cancer

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-12-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-12-31
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-01-07
Survey response — day 14, dose 2
MedDRA: Office visit, Rash — Feeling: Good

Free text: I had a rash on upper thigh. My oncologist said unlikely from my treatment. Treated with Allegra (2) until gone 3 days and still on 1 last day.

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-01-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-06-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-07-19
Dose 3 — Pfizer-BioNTech
2022-07-19
Health check-in — day 0, dose 3
Feeling: Fair · None

Adult check-in
2022-07-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-07-22
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: I am on chemo so only my sore arm at shot site is related. Possibly mild fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-07-23
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Probably chemo related

MedDRA releases: 2024-11 · check-in free text available
2022-07-24
Survey response — days 1–6 daily, dose 3
MedDRA: Chemotherapy, Neoplasm malignant — Feeling: Good · Diarrhea

Free text: Cancer or chemo

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-08-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-08-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-08-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-08-23
Survey response — day 35, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Related to cancer treatment

MedDRA releases: 2024-11 · check-in free text available
2022-08-30
Survey response — day 42, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Related to cancer treatment

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2023-01-19
Survey response — 6 months, dose 3
MedDRA: Emergency care, Epistaxis, Platelet count decreased, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-01-19
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-01-20
Call 1 — Left Voicemail
2023-01-20
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Janssen/Johnson & Johnson
2	2021-12-24	Moderna	No
3	2022-07-19	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Difficulty sleeping

2021-03-12

Systemic reaction (other): Night sweats 3 nights may be related to other conditions

Release 10 — days 1–6 daily, dose 2

2021-12-25

Systemic reaction (other): Slight itchy or prickly skin. May be due to cancer treatment

2021-12-26

Systemic reaction (other): Cancer symptoms and cancer drugs overlap some of above none new

2021-12-27

Systemic reaction (other): Night sweats most likely from cancer

Release 10 — day 14, dose 2

2022-01-07

Symptoms: I had a rash on upper thigh. My oncologist said unlikely from my treatment. Treated with Allegra (2) until gone 3 days and still on 1 last day.

Release 12 — days 1–6 daily, dose 3

2022-07-22

Systemic reaction (other): I am on chemo so only my sore arm at shot site is related. Possibly mild fatigue.

2022-07-23

Systemic reaction (other): Probably chemo related

2022-07-24

Systemic reaction (other): Cancer or chemo

Release 12 — day 35, dose 3

2022-08-23

Symptoms: Related to cancer treatment

Release 12 — day 42, dose 3

2022-08-30

Symptoms: Related to cancer treatment

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	Emergency care	·	·	✓
SD	Epistaxis	·	·	✓
SD	Office visit	·	·	✓
SD	Platelet count decreased	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Chemotherapy	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Neoplasm malignant	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Paraesthesia	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Unevaluable event	·	·	✓

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