5HH-21921-75132

4 vaccinations 12 coded responses 33 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 466 / IN
Registered: 2021-11-02

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-26
Dose 1 — Janssen/Johnson & Johnson
2021-10-30
Dose 2 — Janssen/Johnson & Johnson
2021-11-02
Registered in v-safe
2021-11-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Mild heartburn

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Brain fog, Pain in extremity — Feeling: Fair · Fatigue or tiredness

Free text: My head isn't very clear-hasn't been since the weekend. Also, yesterday I felt some random pains in my leg and shoulder.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-29
Survey response — 3 months, dose 2
MedDRA: Blood donor, Cough, Fatigue — Feeling: Fair

Free text: Tired, dry cough, but I also just donated blood so that may be making me tired.

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Dose 3 — Pfizer-BioNTech
2022-04-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-12
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Swelling in armpit and below on same side as injection.

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Survey response — days 1–6 daily, dose 3
MedDRA: Influenza like illness, Oedema peripheral, Paranasal sinus hypersecretion, Sneezing — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school

Free text: Swelling beside armpit on foot arm. Sinus drip, sneezing. Feeling a bit like the flu.

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Swelling behind armpit on vaccination side.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-16
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-23
Survey response — day 14, dose 3
MedDRA: Headache, Influenza — Feeling: Fair

Free text: Headache, fluish but no fever.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Survey response — day 21, dose 3
MedDRA: Abdominal distension, Dizziness, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bloated, headache, slight nausea, lightheaded.

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — day 28, dose 3
MedDRA: Abdominal distension, Fatigue, Malaise, Paraesthesia, Vertigo — Feeling: Good

Free text: Vertigo, tingling in legs, blah feeling, tired, sometimes bloated.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-10
Survey response — 6 months, dose 3
MedDRA: Fatigue, Malaise, Office visit, Paranasal sinus hypersecretion, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tired, sinus drip, feel punky, a little vertigo · Healthcare visit (other): Dr visit

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-10
Call 1 — Could Not Reach Participant
2022-10-11
Call 2 — Could Not Reach Participant
2022-10-14
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-28
Survey response — day 14, dose 4
MedDRA: Dizziness, Fatigue — Feeling: Good

Free text: Tired, light headed.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-13
Survey response — day 28, dose 4
MedDRA: Fatigue, Headache, Malaise, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Good

Free text: Post nasal drip, tired, sore throat, punky, headache...

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Janssen/Johnson & Johnson	No
2	2021-10-30	Janssen/Johnson & Johnson	No
3	2022-04-09	Pfizer-BioNTech	No
4	2022-10-14	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 2

2021-11-02

Systemic reaction (other): Mild heartburn

2021-11-04

Systemic reaction (other): My head isn't very clear-hasn't been since the weekend. Also, yesterday I felt some random pains in my leg and shoulder.

Release 11 — 3 months, dose 2

2022-01-29

Symptoms: Tired, dry cough, but I also just donated blood so that may be making me tired.

Release 11 — days 1–6 daily, dose 3

2022-04-12

Systemic reaction (other): Swelling in armpit and below on same side as injection.

2022-04-13

Systemic reaction (other): Swelling beside armpit on foot arm. Sinus drip, sneezing. Feeling a bit like the flu.

2022-04-14

Systemic reaction (other): Swelling behind armpit on vaccination side.

Release 11 — day 14, dose 3

2022-04-23

Symptoms: Headache, fluish but no fever.

Release 11 — day 21, dose 3

2022-04-30

Symptoms: Bloated, headache, slight nausea, lightheaded.

Release 11 — day 28, dose 3

2022-05-07

Symptoms: Vertigo, tingling in legs, blah feeling, tired, sometimes bloated.

Release 12 — 6 months, dose 3

2022-10-10

Symptoms: Tired, sinus drip, feel punky, a little vertigo

Healthcare visit (other): Dr visit

Release 12 — day 14, dose 4

2022-10-28

Symptoms: Tired, light headed.

Release 12 — day 28, dose 4

2022-11-13

Symptoms: Post nasal drip, tired, sore throat, punky, headache...

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	Abdominal distension	·	·	✓
SD	Blood donor	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Influenza	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Vertigo	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Dyspepsia	·	·	✓
SRO	Influenza like illness	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Sneezing	·	·	✓

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