5DJ-32100-00377

2 vaccinations 24 coded responses 31 check-ins 24 free-text entries 9 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 100 / NY
Registered: 2021-03-23

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Janssen/Johnson & Johnson
2021-03-23
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-24
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Runny nose, sneezing and Asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: More Asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-06
Survey response — day 14, dose 1
MedDRA: Asthma, Office visit, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: More Asthma · Healthcare visit (other): Dr Office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — day 21, single dose
MedDRA: Abdominal pain upper, Asthma, Oropharyngeal pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: More AsthmaBad sore throatI am in touch with my drs. I am still having stomach ache/ on and off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 28, single dose
MedDRA: Feeling hot, Office visit, Urticaria — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Legs feeling warmRash/HivesMore asthmaI am getting a lot blood-testI saw my internist, pulmonologist and my allergist for those symptoms . · Healthcare visit (other): Dr offices

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 28, single dose
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — day 35, single dose
MedDRA: Dyspnoea, Feeling hot, Hypersensitivity, Medical observation, Pain in extremity, Pre-existing disease, Pruritus, Rash — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I had leg pain/warmth feeling Trouble breathing/Asthma 3 weeks later I suddenly had allergic reaction a rash and very ichy all over body. I am currently under medical care.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 42, single dose
MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe Asthma AttackI am in care with pulmonologist and my allergist .I am not sure if my current health issues are due to the covid 19 vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Call 2 — Left Voicemail
2021-05-29
Call 3 — Left Voicemail
2021-06-14
Call X — Left Voicemail
2021-06-22
Survey response — 3 months, dose 1
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: It took me like 6/7 weeks for me to go back to my normal routine with drs follow up. I do have Asthma and immunity issues that seemed to get worst after the covid 19 vaccine. · Healthcare visit (other): Dr offices

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 2 — Left Voicemail
2021-06-28
Call 3 — Left Voicemail
2021-09-21
Survey response — 6 months, dose 1
MedDRA: Asthma, Autoimmune disorder, Nausea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Asthma and immune issuesNausea · Healthcare visit (other): Dr offices, CityMed

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call 2 — Left Voicemail
2021-12-27
Dose 2 — Pfizer-BioNTech
2021-12-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-28
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Asthma

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: More Asthma

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-30
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: More Asthma

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Call 2 — Left Voicemail
2021-12-31
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Asthma

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Asthma

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Asthma

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — day 7, dose 2
MedDRA: Asthma, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: Asthma , sneezing and runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Survey response — day 14, dose 2
MedDRA: Asthma, Urticaria — Feeling: Fair · Be unable to work or attend school

Free text: Asthma and development Hives 1 week later on arms and rash on face.

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — day 21, dose 2
MedDRA: Asthma, Urticaria — Feeling: Fair · Be unable to work or attend school

Free text: Asthma and having hives. Seeing Drs tomorrow!

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — day 28, dose 2
MedDRA: Asthma, Menstruation irregular, Rash, Urticaria — Feeling: Fair · Be unable to work or attend school

Free text: Asthma and Hives/Rash. I saw 3 DRS . I was given medication. I forgot to mention when I got my booster shot on December 27 , my period stop suddenly .

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Survey response — day 35, dose 2
MedDRA: Asthma, Office visit, Rash, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Asthma and Hives/Rash · Healthcare visit (other): Dr offices

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-02
Call 2 — Left Voicemail
2022-02-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-28
Survey response — 3 months, dose 2
MedDRA: Medical counselling, Office visit, Pre-existing disease, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I do have a health condition Asthma and allergies but always had that. I did have hives 12/14 days after booster shot. · Healthcare visit (other): Office visit or phone calls

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-29
Call 2 — Left Voicemail
2022-06-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-12-27
Survey response — 12 months, dose 2
MedDRA: Asthma, COVID-19, Cough, Ear pain, Fatigue, Nausea, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Sinus disorder, Sneezing — 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

Free text: I had covid July 8 and again December 7. I had coughing, Asthma attack, high fever, tiredness, body aches ,sinus issues, throat pain, congestion,sneezing, ear pains, nausea . I had take Paxlovid.

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-29
Call X — Left Voicemail
2023-01-04
Call 1 — Left Voicemail
2023-01-05
Call 2 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 3 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Janssen/Johnson & Johnson
2	2021-12-27	Pfizer-BioNTech	No

Call center

9 call center cases

9 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Runny nose, sneezing and Asthma

2021-03-27

Systemic reaction (other): Asthma

2021-03-28

Systemic reaction (other): More Asthma

2021-03-29

Systemic reaction (other): Asthma

Release 7 — day 14, dose 1

2021-04-06

Symptoms: More Asthma

Healthcare visit (other): Dr Office

Release 7 — day 21, single dose

2021-04-13

Symptoms: More AsthmaBad sore throatI am in touch with my drs. I am still having stomach ache/ on and off

Release 7 — day 28, single dose

2021-04-20

Symptoms: Legs feeling warmRash/HivesMore asthmaI am getting a lot blood-testI saw my internist, pulmonologist and my allergist for those symptoms .

Healthcare visit (other): Dr offices

Release 8 — day 35, single dose

2021-04-27

Symptoms: I had leg pain/warmth feeling Trouble breathing/Asthma 3 weeks later I suddenly had allergic reaction a rash and very ichy all over body. I am currently under medical care.

Release 8 — day 42, single dose

2021-05-04

Symptoms: Severe Asthma AttackI am in care with pulmonologist and my allergist .I am not sure if my current health issues are due to the covid 19 vaccine.

Release 9 — 3 months, dose 1

2021-06-22

Symptoms: It took me like 6/7 weeks for me to go back to my normal routine with drs follow up. I do have Asthma and immunity issues that seemed to get worst after the covid 19 vaccine.

Healthcare visit (other): Dr offices

Release 9 — 6 months, dose 1

2021-09-21

Symptoms: Asthma and immune issuesNausea

Healthcare visit (other): Dr offices, CityMed

Release 10 — days 1–6 daily, dose 2

2021-12-28

Systemic reaction (other): Asthma

2021-12-29

Systemic reaction (other): More Asthma

2021-12-30

Systemic reaction (other): More Asthma

2021-12-31

Systemic reaction (other): Asthma

2022-01-01

Systemic reaction (other): Asthma

2022-01-02

Systemic reaction (other): Asthma

Release 10 — day 7, dose 2

2022-01-03

Systemic reaction (other): Asthma , sneezing and runny nose

Release 10 — day 14, dose 2

2022-01-10

Symptoms: Asthma and development Hives 1 week later on arms and rash on face.

Release 10 — day 21, dose 2

2022-01-17

Symptoms: Asthma and having hives. Seeing Drs tomorrow!

Release 11 — day 28, dose 2

2022-01-24

Symptoms: Asthma and Hives/Rash. I saw 3 DRS . I was given medication. I forgot to mention when I got my booster shot on December 27 , my period stop suddenly .

Release 11 — day 35, dose 2

2022-02-01

Symptoms: Asthma and Hives/Rash

Healthcare visit (other): Dr offices

Release 11 — 3 months, dose 2

2022-03-28

Symptoms: I do have a health condition Asthma and allergies but always had that. I did have hives 12/14 days after booster shot.

Healthcare visit (other): Office visit or phone calls

Release 12 — 12 months, dose 2

2022-12-27

Symptoms: I had covid July 8 and again December 7. I had coughing, Asthma attack, high fever, tiredness, body aches ,sinus issues, throat pain, congestion,sneezing, ear pains, nausea . I had take Paxlovid.

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	Medical counselling	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Autoimmune disorder	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Medical observation	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Sneezing	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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