5F6-24643-95237

2 vaccinations 15 coded responses 26 check-ins 15 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 900 / CA
Registered: 2021-04-11

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

2021-04-10
Dose 1 — Janssen/Johnson & Johnson
2021-04-11
Registered in v-safe
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Paraesthesia, Taste disorder — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Tingling sensation of the skin, loss of appetite, taste altered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, 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

Free text: Shortness of breath, decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
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)
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Dyspnoea — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mild shortness of breath and loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Mild shortness of breath and loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Dyspnoea — Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Shortness of breath and appetite loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
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)
2021-04-17
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Good · Site: Pain

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Call 1 — Left Voicemail
2021-04-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Call 1 — Left Voicemail
2021-05-03
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-10-09
Survey response — 6 months, dose 1
MedDRA: Brain fog, Dyspnoea, Malaise, Tremor — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Malaise, not able to take a full breath, brain fog, hand tremors

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-11
Call 1 — Could Not Reach Participant
2021-10-14
Call 2 — Left Voicemail
2021-11-12
Dose 2 — Moderna
2021-11-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Breathing difficulty

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-16
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Breathing difficulty and cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Shortness of breath and coughing

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Dizziness, Dyspnoea, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fibromyalgia flare up shortness of breath and dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-17
Survey response — day 35, dose 2
MedDRA: Cough, Malaise, Nausea, Pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, fever, nausea, congestion, malaise, body pains

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — day 42, dose 2
MedDRA: Arthralgia, Back pain, Cough, Decreased appetite, Dyspnoea, Fatigue, Hypogeusia, Hyposmia, Malaise, Myalgia, Nasal congestion, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, fever, shortness of breath, exhaustion, chest and nose congestion, back and joint pain, malaise, myalgia, sneezing, runny nose, loss of appetite, sense of smell and taste dulled

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Dizziness, Dyspnoea, Fatigue, Pre-existing disease, Unevaluable event — 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 · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Dizziness, shortness of breath, fatigue, fibromyalgia flare · Healthcare visit (other): Subsequent tests as a result of appointments

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Report sent to call center — 3 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)
2022-02-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Janssen/Johnson & Johnson
2	2021-11-12	Moderna	No

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): Tingling sensation of the skin, loss of appetite, taste altered

2021-04-13

Systemic reaction (other): Shortness of breath, decreased appetite

2021-04-14

Systemic reaction (other): Mild shortness of breath and loss of appetite

2021-04-15

Systemic reaction (other): Mild shortness of breath and loss of appetite

2021-04-16

Systemic reaction (other): Shortness of breath and appetite loss

Release 7 — day 7, dose 1

2021-04-17

Systemic reaction (other): Shortness of breath

Release 10 — 6 months, dose 1

2021-10-09

Symptoms: Malaise, not able to take a full breath, brain fog, hand tremors

Release 10 — days 1–6 daily, dose 2

2021-11-14

Systemic reaction (other): Breathing difficulty

2021-11-16

Systemic reaction (other): Breathing difficulty and cough

2021-11-17

Systemic reaction (other): Shortness of breath and coughing

2021-11-18

Systemic reaction (other): Shortness of breath

Release 10 — day 21, dose 2

2021-12-03

Symptoms: Fibromyalgia flare up shortness of breath and dizziness

Release 10 — day 35, dose 2

2021-12-17

Symptoms: Cough, fever, nausea, congestion, malaise, body pains

Release 10 — day 42, dose 2

2021-12-24

Symptoms: Cough, fever, shortness of breath, exhaustion, chest and nose congestion, back and joint pain, malaise, myalgia, sneezing, runny nose, loss of appetite, sense of smell and taste dulled

Release 11 — 3 months, dose 2

2022-02-13

Symptoms: Dizziness, shortness of breath, fatigue, fibromyalgia flare

Healthcare visit (other): Subsequent tests as a result of appointments

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	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Brain fog	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypogeusia	·	·	✓
SD	Hyposmia	·	·	✓
SD	Malaise	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SD	Tremor	·	·	✓
SRO	Cough	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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