5CM-32520-46371

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 803 / CO
Registered: 2021-03-05

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-04
Dose 1 — Janssen/Johnson & Johnson
2021-03-05
Registered in v-safe
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Chills, Headache, Fatigue or tiredness

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinalgia, Stomatitis — Feeling: Good · Fatigue or tiredness

Free text: A small sore in my nose, several small sores in my mouth.

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

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — day 7, dose 1
MedDRA: Food allergy, Headache, Sleep disorder, Tinnitus — Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tiredness

Free text: Since the vaccine I have had high pitched ringing in my ears, disturbed sleep, having reactions to food after eating like headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 1
MedDRA: Injection site dryness, Injection site erythema, Injection site pain — Feeling: Good

Free text: Injection site turned into a 3/16 x 1/16 red and scaly area. No pain other than normal from an injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 35, single dose
MedDRA: Palpitations, Panic attack — Feeling: Fair

Free text: Panic attacks, heart palpitations at bedtime keeping me awake for several hours. Happening several times a week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-09-02
Survey response — 6 months, dose 1
MedDRA: Eczema, Fatigue, Headache, Hypersensitivity, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: More nerve pain, eczema spots, increased histamine rash reaction in conjunction with increased food and vitamin sensitivity, more frequent cluster headaches and headaches in general, fatigue.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-14
Dose 2 — Pfizer-BioNTech
2021-12-14
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-16
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Mobility decreased — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: I was feeling very weak the day after the vaccine and spent the day in bed, but that is better today

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Janssen/Johnson & Johnson
2	2021-12-14	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Nasal congestion

2021-03-08

Systemic reaction (other): A small sore in my nose, several small sores in my mouth.

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Since the vaccine I have had high pitched ringing in my ears, disturbed sleep, having reactions to food after eating like headache.

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Injection site turned into a 3/16 x 1/16 red and scaly area. No pain other than normal from an injection.

Release 7 — day 35, single dose

2021-04-08

Symptoms: Panic attacks, heart palpitations at bedtime keeping me awake for several hours. Happening several times a week.

Release 9 — 6 months, dose 1

2021-09-02

Symptoms: More nerve pain, eczema spots, increased histamine rash reaction in conjunction with increased food and vitamin sensitivity, more frequent cluster headaches and headaches in general, fatigue.

Release 10 — days 1–6 daily, dose 2

2021-12-16

Systemic reaction (other): I was feeling very weak the day after the vaccine and spent the day in bed, but that is better today

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	Eczema	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Hypersensitivity	✓	·	✓
SD	Injection site dryness	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Pain	✓	·	✓
SD	Palpitations	✓	✓	✓
SD	Panic attack	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SRO	Asthenia	·	·	✓
SRO	Food allergy	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Mobility decreased	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Rhinalgia	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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