5L7-24627-21042

3 vaccinations 8 coded responses 36 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 916 / CA
Registered: 2021-04-01

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Janssen/Johnson & Johnson
2021-04-01
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Good · Site: Pain

Free text: Hand on vaccinated arm tingled. Resolved by moving around.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Nervous system disorder — Feeling: Poor · Site: Pain · 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: My nerves were sensitive this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache, Nausea

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache, Joint pains

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Brain fog - Ive forgotten to mention this since Friday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 28, single dose
MedDRA: Sinus disorder — Feeling: Fair

Free text: Sinus issues. I hope its allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-30
Survey response — 6 months, dose 1
MedDRA: Libido decreased, Menstrual disorder — Feeling: Good · Be unable to work or attend school

Free text: My menstrual cycle has been unpredictable. I also had low libido for the 2 months after the vaccine. I only realized that recently.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Dose 2 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Nausea

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-11-03
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Good · Joint pains, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Survey response — day 14, dose 2
MedDRA: Dizziness, Headache, Nausea, Orthostatic hypotension — Feeling: Good

Free text: Lightheadedness and head rushes. Feeling nauseous a lot of times within 30 minutes of eating. Headaches come and go.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea, lightheadedness, fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-12-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-09-23
Dose 3 — Moderna
2022-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-03-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Janssen/Johnson & Johnson
2	2021-10-27	Moderna	No
3	2022-09-23	Moderna	No

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): Hand on vaccinated arm tingled. Resolved by moving around.

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): My nerves were sensitive this morning.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Brain fog - Ive forgotten to mention this since Friday.

Release 8 — day 28, single dose

2021-04-29

Symptoms: Sinus issues. I hope its allergies.

Release 9 — 6 months, dose 1

2021-09-30

Symptoms: My menstrual cycle has been unpredictable. I also had low libido for the 2 months after the vaccine. I only realized that recently.

Release 10 — day 7, dose 2

2021-11-03

Systemic reaction (other): Dizziness

Release 10 — day 14, dose 2

2021-11-10

Symptoms: Lightheadedness and head rushes. Feeling nauseous a lot of times within 30 minutes of eating. Headaches come and go.

Release 10 — day 21, dose 2

2021-11-17

Symptoms: Nausea, lightheadedness, fatigue

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
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Libido decreased	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Nausea	·	·	✓
SD	Orthostatic hypotension	·	·	✓
SD	Sinus disorder	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Nervous system disorder	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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