5KA-13629-98786

3 vaccinations 9 coded responses 44 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 946 / CA
Registered: 2021-04-04

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

Registered dependents

PDJ-30429-28623 Child or adolescent in my care · Female · 2022-07-20

ZS4-17429-79458 Child or adolescent in my care · Female · 2022-08-19

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-03
Dose 1 — Janssen/Johnson & Johnson
2021-04-04
Registered in v-safe
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Night sweats — Feeling: Good · Fever

Free text: Night sweats, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration — Feeling: Good

Free text: Feeling dehydrated since vaccine, so just drinking more water

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration — Feeling: Good

Free text: Still feeling more dehydrated than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-29
Dose 2 — Moderna
2021-10-29
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration, Night sweats — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Dehydration and night sweats

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Dehydration

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Mild sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration — Feeling: Good

Free text: Dehydration

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-11-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-03
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
2022-01-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-09-16
Dose 3 — Moderna
Co-administered: Flu
2022-09-16
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2022-09-17
Survey response — days 1–6 daily, dose 3
MedDRA: Sensitive skin — Feeling: Good · Site: Pain

Free text: Skin sensitivity

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-20
Survey response — days 1–6 daily, dose 3
MedDRA: Dehydration — Feeling: Good · Nausea

Free text: Feeling dehydrated

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-12-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-03-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Janssen/Johnson & Johnson
2	2021-10-29	Moderna	No
3	2022-09-16	Moderna	Flu

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): Night sweats, diarrhea

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Feeling dehydrated since vaccine, so just drinking more water

2021-04-08

Systemic reaction (other): Still feeling more dehydrated than normal

Release 10 — days 1–6 daily, dose 2

2021-10-30

Systemic reaction (other): Dehydration and night sweats

2021-10-31

Systemic reaction (other): Dehydration

2021-11-01

Systemic reaction (other): Mild sore throat

2021-11-02

Systemic reaction (other): Dehydration

Release 12 — days 1–6 daily, dose 3

2022-09-17

Systemic reaction (other): Skin sensitivity

2022-09-20

Systemic reaction (other): Feeling dehydrated

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
SRO	Dehydration	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Sensitive skin	·	·	✓

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