5BW-25684-98888

4 vaccinations 14 coded responses 32 check-ins 13 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 809 / CO
Registered: 2021-03-07

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

2021-03-06
Dose 1 — Janssen/Johnson & Johnson
2021-03-07
Registered in v-safe
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: It has subsided but fast heart beat and mild at this point but dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Muscular weakness, Unevaluable event — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Moderate dizziness and left arm weakness · Healthcare visit (other): Waiting on answer from pcp for next steps, emailed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Continued dizziness and lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, Dizziness — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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: Continued dizziness and lightheadedness; was tested for Covid today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness and lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-04-03
Health check-in — day 28, single dose
Feeling: Fair

Adult check-in
2021-04-10
Survey response — day 35, single dose
MedDRA: Dyspnoea — Feeling: Fair

Free text: Shortness of breath started today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 42, single dose
MedDRA: Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain center chest, reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 42, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-06-05
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-09-04
Survey response — 6 months, dose 1
MedDRA: Dyspnoea — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Worsening sob, possible cardiac condition

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-08
Call 1 — Left Voicemail
2021-09-08
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-10-22
Dose 2 — Pfizer-BioNTech
2021-10-29
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-11-12
Survey response — day 21, dose 2
MedDRA: Adverse reaction, Unevaluable event — Feeling: Fair · 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: Symptoms: Probably more related to Covid, having smoked and the J&J Rather than the Pfizer booster: Need to start on oxygen and having trouble getting it okayed through Medicaid to take · Healthcare visit (other): Stress testing, lung capacity test

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — day 21, 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)
2021-11-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-21
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Nasopharyngitis, Quarantine, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening sob, cold symptoms - cold sym mostly gone. SOB still more pronounced. Didn't receive answer from doc so saw no one. 2 Covid tests, 1 for sym 1 as taking friend to hospital. isolated 5 days & wore mask after. Feel unrelated to booster.

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Dose 3 — Pfizer-BioNTech
2022-04-22
Survey response — 6 months, dose 2
MedDRA: Colitis microscopic, Oxygen therapy, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, 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: Lymphocytic colitis. I have residual problems from having Covid and or the Johnson and Johnson vaccination. I am on oxygen during exertion but 2 Pfizer boosters have been no problem.

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-28
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-04-30
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-05-07
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-05-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-08
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-08
Survey response — 3 months, dose 4
MedDRA: Condition aggravated, Pre-existing disease, Respiratory disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Worsening breathing, but this is most likely caused by inhaler, which does not seem to work as well

MedDRA releases: 2024-11 · check-in free text available
2023-03-09
Survey response — 6 months, dose 4
MedDRA: Acquired diaphragmatic eventration — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Janssen/Johnson & Johnson
2	2021-10-22	Pfizer-BioNTech	No
3	2022-04-02	Pfizer-BioNTech	No
4	2022-09-08	Pfizer-BioNTech	Flu

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): It has subsided but fast heart beat and mild at this point but dizzy

2021-03-08

Systemic reaction (other): Dizziness

2021-03-09

Systemic reaction (other): Moderate dizziness and left arm weakness

Healthcare visit (other): Waiting on answer from pcp for next steps, emailed

2021-03-10

Systemic reaction (other): Continued dizziness and lightheadedness

2021-03-11

Systemic reaction (other): Continued dizziness and lightheadedness; was tested for Covid today

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Dizziness and lightheadedness

Release 7 — day 35, single dose

2021-04-10

Symptoms: Shortness of breath started today

Release 7 — day 42, single dose

2021-04-17

Symptoms: Pain center chest, reflux

Release 9 — 6 months, dose 1

2021-09-04

Symptoms: Worsening sob, possible cardiac condition

Release 10 — day 21, dose 2

2021-11-12

Symptoms: Probably more related to Covid, having smoked and the J&J Rather than the Pfizer booster: Need to start on oxygen and having trouble getting it okayed through Medicaid to take

Healthcare visit (other): Stress testing, lung capacity test

Release 11 — 3 months, dose 2

2022-01-21

Symptoms: Worsening sob, cold symptoms - cold sym mostly gone. SOB still more pronounced. Didn't receive answer from doc so saw no one. 2 Covid tests, 1 for sym 1 as taking friend to hospital. isolated 5 days & wore mask after. Feel unrelated to booster.

Release 11 — 6 months, dose 2

2022-04-22

Symptoms: Lymphocytic colitis. I have residual problems from having Covid and or the Johnson and Johnson vaccination. I am on oxygen during exertion but 2 Pfizer boosters have been no problem.

Release 12 — 3 months, dose 4

2022-12-08

Symptoms: Worsening breathing, but this is most likely caused by inhaler, which does not seem to work as well

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	Unevaluable event	✓	✓	✓
SD	Acquired diaphragmatic eventration	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Colitis microscopic	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oxygen therapy	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Quarantine	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SRO	COVID-19	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓

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