4HG-14629-43203

3 vaccinations 10 coded responses 36 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 208 / MD
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Janssen/Johnson & Johnson
2021-04-09
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Joint pains

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Ophthalmic migraine, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Recurring twinges in outer side of left quadriceps since yesterday evening are bothersome but not painful. Ocular migraines increased but likely due to being tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-04-23
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-01
Survey response — day 21, single dose
MedDRA: Menstruation irregular — Feeling: Fair

Free text: Resume menstrual bleeding- which I hadnt had since 2/2018 after a NovaSure (ablation). Very small amount- barely dots a pad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 28, single dose
Feeling: Fair

Adult check-in
2021-05-15
Survey response — day 35, single dose
MedDRA: Condition aggravated, Lip infection, Oral fungal infection, Oral infection, Pre-existing disease, Swollen tongue — Feeling: Fair

Free text: New: mouth infection. Feels like thrush. I had a swollen tongue (sometimes happens wrt my leukoplakia), bit my lip and cheeks when eating, now they are infected. Salt water washing 2x per day. Otherwise- good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-07-09
Survey response — 3 months, dose 1
MedDRA: Sneezing — Feeling: Good

Free text: Occasional sneezing boy no congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-09
Survey response — 6 months, dose 1
MedDRA: Cough, Diarrhoea, Respiratory tract congestion, Unevaluable event — Feeling: Good

Free text: Fleeting and mild diarrhea. Occasionally, congestion and cough. None last more than a day.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Dose 2 — Pfizer-BioNTech
Co-administered: Flu
2021-11-03
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains

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

Adult check-in
2021-11-17
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-11-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-12-01
Survey response — day 35, dose 2
MedDRA: Colitis, Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Biliary colitis I have had arm pain for 8 weeks or so, unrelated to this, and am seeing an orthopedist today

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Report sent to call center — day 35, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2021-12-02
Call 1 — Left Voicemail
2021-12-08
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2022-01-26
Survey response — 3 months, dose 2
MedDRA: Cholelithiasis, Gallbladder operation, Office visit — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: Gallstones starting 11/30/21. Gall bladder surgery 1/21/22 · Healthcare visit (other): General Surgeon office Visit and primary care physician visits

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-01-27
Call 1 — Left Voicemail
2022-04-27
Survey response — 6 months, dose 2
MedDRA: Cholelithiasis, Cholelithotomy, Impaired work ability, Influenza like illness, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I had flu like symptoms and took a COVID19 antigen home test on 4/7/22 which was negative. This did not cause me to miss work,etc. I believe I already reported a gallstone diagnosis that was treated by surgery 1/21/2022. Missed work, etc.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-04-28
Call 1 — Left Voicemail
2022-04-29
Dose 3 — Pfizer-BioNTech
2022-05-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-29
Survey response — 3 months, dose 3
MedDRA: Headache, Heart rate increased, Hypoaesthesia, Oral surgery, Procedural headache — Feeling: Poor

Free text: Persistent headache since oral surgery 1 week ago. Elevated heart rate today while at rest. Some numbness in my right arm.

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-04-29
Survey response — 12 months, dose 3
MedDRA: Arthralgia — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Janssen/Johnson & Johnson
2	2021-10-27	Pfizer-BioNTech	Flu
3	2022-04-29	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): Recurring twinges in outer side of left quadriceps since yesterday evening are bothersome but not painful. Ocular migraines increased but likely due to being tired.

Release 8 — day 21, single dose

2021-05-01

Symptoms: Resume menstrual bleeding- which I hadnt had since 2/2018 after a NovaSure (ablation). Very small amount- barely dots a pad.

Release 8 — day 35, single dose

2021-05-15

Symptoms: New: mouth infection. Feels like thrush. I had a swollen tongue (sometimes happens wrt my leukoplakia), bit my lip and cheeks when eating, now they are infected. Salt water washing 2x per day. Otherwise- good.

Release 9 — 3 months, dose 1

2021-07-09

Symptoms: Occasional sneezing boy no congestion.

Release 10 — 6 months, dose 1

2021-10-09

Symptoms: Fleeting and mild diarrhea. Occasionally, congestion and cough. None last more than a day.

Release 10 — day 35, dose 2

2021-12-01

Symptoms: Biliary colitis I have had arm pain for 8 weeks or so, unrelated to this, and am seeing an orthopedist today

Release 11 — 3 months, dose 2

2022-01-26

Symptoms: Gallstones starting 11/30/21. Gall bladder surgery 1/21/22

Healthcare visit (other): General Surgeon office Visit and primary care physician visits

Release 11 — 6 months, dose 2

2022-04-27

Symptoms: I had flu like symptoms and took a COVID19 antigen home test on 4/7/22 which was negative. This did not cause me to miss work,etc. I believe I already reported a gallstone diagnosis that was treated by surgery 1/21/2022. Missed work, etc.

Release 12 — 3 months, dose 3

2022-07-29

Symptoms: Persistent headache since oral surgery 1 week ago. Elevated heart rate today while at rest. Some numbness in my right arm.

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	Arthralgia	·	·	✓
SD	Cholelithiasis	·	·	✓
SD	Cholelithotomy	·	·	✓
SD	Colitis	·	·	✓
SD	Condition aggravated	✓	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Gallbladder operation	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Lip infection	✓	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Oral fungal infection	○	✓	○
SD	Oral infection	✓	·	✓
SD	Oral surgery	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Procedural headache	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Swollen tongue	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Ophthalmic migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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