5DU-15746-77398

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 331 / FL
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
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Severe Pain in groin armpits neck glands

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: Axillary pain, Groin pain, Headache, Neck pain — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Less Severe pain then yesterday more moderate but very painful groin, neck, armpits , head I only recall this pain and inability to get up and go when I had the Grippe or Epstein Barr/Mono ...

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: Axillary pain, Back pain, Groin pain, Headache, Neck pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Head neck armpits still moderate pain and groin and back pain has subsided

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: I started to get my appetite back but my meals were going through me last night and today ...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-31
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
Call 1 — Could Not Reach Participant
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Call successful
Participant prefers to complete VAERS report online
2021-04-15
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 28, single dose
MedDRA: Deep vein thrombosis, Muscle contractions involuntary, Office visit, Pain, Peripheral venous disease, Pre-existing disease, Ultrasound Doppler abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Deep vein throbbing and involuntary contraction in my right calf . I saw my cardiologist and she prescribed ultrasound of lower extremities. Ive had deep vein disease and clot and chronic venous insufficiency . I also had TIA attack in my past. · Healthcare visit (other): Doctor office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 28, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Call 1 — Could Not Reach Participant
2021-04-30
Call successful
Participant prefers to complete VAERS report online
2021-05-06
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-25
Survey response — 3 months, dose 1
MedDRA: Cardiac flutter, Fatigue, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Flutter in my heart and fatigue still since having COVID in sept 2020 Im with cardiologist care ... just returning a zip monitor I wore for 2 weeks today . · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Call 3 — Left Voicemail
2021-09-23
Survey response — 6 months, dose 1
MedDRA: Bone pain, Chest discomfort, Fatigue, Office visit, Rash, Swelling, Swelling face — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Flare up for the last 7 weeks of severe fatigue, systemic bone pain, chest pressure, rash on face and right upper hip and swelling in face neck and upper torso. · Healthcare visit (other): Specialists rheumatologist, pcp

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-09-27
Call successful
Participant prefers to complete VAERS report online
2021-12-22
Dose 2 — Pfizer-BioNTech
2022-03-25
Survey response — 12 months, dose 1
MedDRA: Dyspnoea, Headache, Herpes zoster, Pain, Pre-existing disease, Upper respiratory tract infection — 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, Emergency room or emergency department visit

Free text: Headaches at night, chronic dyspnea and still have shortness of breath and chronic fatigue, I've had shingles for 6 mos still have pain and now upper respiratory infection

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail
2022-06-22
Survey response — 6 months, dose 2
MedDRA: Computerised tomogram abnormal, Dyspnoea, Office visit, Pulmonary mass — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: 6 very small lung nodules on act scan by pulmonologist , still having shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-23
Call 2 — Left Voicemail
2022-06-23
Call 2 — Left Voicemail
2022-06-23
Call 1 — Left Voicemail
2022-06-23
Call 1 — Left Voicemail
2022-06-23
Call 2 — Requested Callback
2022-06-23
Call 1 — Requested Callback
2022-06-27
Call 3 — Left Voicemail
2022-06-27
Call 3 — Left Voicemail
2022-06-27
Call 2 — Left Voicemail
2022-06-27
Call 2 — Left Voicemail
2022-06-27
Call 3 — Left Voicemail
2022-06-27
Callback requested for
12:30PM ET
2022-06-27
Call 2 — Left Voicemail
2022-06-27
Callback requested for
12:30PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Janssen/Johnson & Johnson
2	2021-12-22	Pfizer-BioNTech	No

Call center

6 call center cases

4 successful · 2 unsuccessful

1 wait 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): Severe Pain in groin armpits neck glands

2021-03-27

Systemic reaction (other): Less Severe pain then yesterday more moderate but very painful groin, neck, armpits , head I only recall this pain and inability to get up and go when I had the Grippe or Epstein Barr/Mono ...

2021-03-28

Systemic reaction (other): Head neck armpits still moderate pain and groin and back pain has subsided

2021-03-30

Systemic reaction (other): I started to get my appetite back but my meals were going through me last night and today ...

Release 7 — day 28, single dose

2021-04-23

Symptoms: Deep vein throbbing and involuntary contraction in my right calf . I saw my cardiologist and she prescribed ultrasound of lower extremities. Ive had deep vein disease and clot and chronic venous insufficiency . I also had TIA attack in my past.

Healthcare visit (other): Doctor office visit

Release 9 — 3 months, dose 1

2021-06-25

Symptoms: Flutter in my heart and fatigue still since having COVID in sept 2020 Im with cardiologist care ... just returning a zip monitor I wore for 2 weeks today .

Healthcare visit (other): Doctors office

Release 9 — 6 months, dose 1

2021-09-23

Symptoms: Flare up for the last 7 weeks of severe fatigue, systemic bone pain, chest pressure, rash on face and right upper hip and swelling in face neck and upper torso.

Healthcare visit (other): Specialists rheumatologist, pcp

Release 11 — 12 months, dose 1

2022-03-25

Symptoms: Headaches at night, chronic dyspnea and still have shortness of breath and chronic fatigue, I've had shingles for 6 mos still have pain and now upper respiratory infection

Release 12 — 6 months, dose 2

2022-06-22

Symptoms: 6 very small lung nodules on act scan by pulmonologist , still having shortness of breath

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	Bone pain	·	·	✓
SD	Cardiac flutter	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Computerised tomogram abnormal	·	·	✓
SD	Deep vein thrombosis	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Muscle contractions involuntary	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Pain	✓	✓	✓
SD	Peripheral venous disease	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pulmonary mass	·	·	✓
SD	Rash	·	·	✓
SD	Swelling	·	·	✓
SD	Swelling face	·	·	✓
SD	Ultrasound Doppler abnormal	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Groin pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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