4ZC-19662-79033

4 vaccinations 12 coded responses 45 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 085 / NJ
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Janssen/Johnson & Johnson
2021-03-25
Survey response — day 0, dose 1
MedDRA: Paraesthesia oral, Throat irritation — Feeling: Good

Free text: Tingling lips and tongue. Scratchy throat began one hour after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia oral, Pruritus, Tinnitus — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling mouth tongue face, whirring sound in ears, itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Joint swelling — Feeling: Good · Muscle or body aches

Free text: Swelling in knees.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Joint swelling — Feeling: Good · Joint pains

Free text: Swelling of both knees which began Sunday with no trigger.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Joint swelling, Pruritus — Feeling: Good · Joint pains

Free text: Itching chest and back. Knees still swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 7, dose 1
MedDRA: Joint swelling, Pruritus — Feeling: Good · Joint pains

Free text: Knees still swelling. Itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-24
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-23
Survey response — 6 months, dose 1
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Likely recurring NeuroLyme which I had in 2020. Awaiting results bloodwork. · Healthcare visit (other): Visit office of Lyme Doctor

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-27
Call 1 — Left Voicemail
2021-10-27
Dose 2 — Janssen/Johnson & Johnson
2021-11-02
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Chills, Headache, Pain — Feeling: Good

Free text: Beginning 10 hours after booster and lasting for 36 hours I had fever over 100 and chills and headache and body aches. I was not surveyed by visage at that time.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 7, dose 2
Feeling: Good · None

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

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

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

Adult check-in
2021-12-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-19
Dose 3 — Pfizer-BioNTech
2022-05-21
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-26
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-26
Dose 4 — Pfizer-BioNTech
2022-10-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-01
Survey response — days 1–6 daily, dose 4
MedDRA: Skin discolouration — Feeling: Good

Free text: Skin patches are developing on upper chest, leg, arm

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Survey response — day 7, dose 4
MedDRA: Skin disorder — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Skin issues in patches but not everywhere. Is that same as rash?

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Survey response — day 14, dose 4
MedDRA: Rash, Reaction to previous exposure to any vaccine, Skin reaction — Feeling: Good

Free text: Skin reaction that began about 4 days after the shot that i reported last week - the number of patches have increased. I had a similar reaction several years ago after Prevnar 13 vaccination, that time it continued for 17 months.

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-26
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Janssen/Johnson & Johnson
2	2021-10-27	Janssen/Johnson & Johnson	No
3	2022-05-19	Pfizer-BioNTech	No
4	2022-10-26	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Tingling lips and tongue. Scratchy throat began one hour after injection

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Tingling mouth tongue face, whirring sound in ears, itching.

2021-03-29

Systemic reaction (other): Swelling in knees.

2021-03-30

Systemic reaction (other): Swelling of both knees which began Sunday with no trigger.

2021-03-31

Systemic reaction (other): Itching chest and back. Knees still swollen.

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): Knees still swelling. Itchy

Release 9 — 6 months, dose 1

2021-09-23

Symptoms: Likely recurring NeuroLyme which I had in 2020. Awaiting results bloodwork.

Healthcare visit (other): Visit office of Lyme Doctor

Release 10 — days 1–6 daily, dose 2

2021-11-02

Systemic reaction (other): Beginning 10 hours after booster and lasting for 36 hours I had fever over 100 and chills and headache and body aches. I was not surveyed by visage at that time.

Release 11 — days 1–6 daily, dose 3

2022-05-21

Systemic reaction (other): Sore throat

Release 12 — days 1–6 daily, dose 4

2022-11-01

Systemic reaction (other): Skin patches are developing on upper chest, leg, arm

Release 12 — day 7, dose 4

2022-11-02

Systemic reaction (other): Skin issues in patches but not everywhere. Is that same as rash?

Release 12 — day 14, dose 4

2022-11-09

Symptoms: Skin reaction that began about 4 days after the shot that i reported last week - the number of patches have increased. I had a similar reaction several years ago after Prevnar 13 vaccination, that time it continued for 17 months.

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	Condition aggravated	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Skin reaction	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Chills	·	·	✓
SRO	Headache	·	·	✓
SRO	Joint swelling	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin discolouration	·	·	✓
SRO	Skin disorder	·	·	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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