5ND-14694-11106

2 vaccinations 14 coded responses 30 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 015 / MA
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Janssen/Johnson & Johnson
2021-03-11
Survey response — day 0, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: foggy head,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Palpitations — Feeling: Fair · Site: Pain · Fever · Nausea

Free text: slight heart palpitations, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Night sweats — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: night sweats, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal, Night sweats, Palpitations — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: brain fog, heart palpitations, dizzy, night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Palpitations, Vertigo — Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: pounding heart, heart palpitations, dizziness/vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Fair · Abdominal pain

Free text: Heart palpitations, head congestion, dizziness/vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 1
MedDRA: Dizziness, Palpitations, Vertigo — Feeling: Fair · Headache, Diarrhea, Rash, not including the immediate area around the injection site

Free text: heart palpitations, dizziness/vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 14, dose 1
MedDRA: Headache, Rash — Feeling: Good

Free text: mild rash, mild headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 21, single dose
MedDRA: Palpitations — Feeling: Good

Free text: mild heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 35, single dose
MedDRA: Diarrhoea, Palpitations — Feeling: Good

Free text: loose stool, heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 42, single dose
MedDRA: Increased tendency to bruise, Menstruation irregular, Palpitations — Feeling: Good

Free text: missed period, heart palpitations, easy bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-09
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-01
Dose 2 — Pfizer-BioNTech
2021-12-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-12-03
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: racing heart

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Palpitations — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: fleeting chest pain, heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-07
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: low back pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-06-03
Health check-in — 6 months, dose 2
Feeling: Good

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Janssen/Johnson & Johnson
2	2021-12-01	Pfizer-BioNTech	No

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): foggy head,

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): slight heart palpitations, brain fog

2021-03-14

Systemic reaction (other): night sweats, dizziness

2021-03-15

Systemic reaction (other): brain fog, heart palpitations, dizzy, night sweats

2021-03-16

Systemic reaction (other): pounding heart, heart palpitations, dizziness/vertigo

2021-03-17

Systemic reaction (other): Heart palpitations, head congestion, dizziness/vertigo

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): heart palpitations, dizziness/vertigo

Release 6 — day 14, dose 1

2021-03-25

Symptoms: mild rash, mild headache

Release 6 — day 21, single dose

2021-04-01

Symptoms: mild heart palpitations

Release 7 — day 35, single dose

2021-04-15

Symptoms: loose stool, heart palpitations

Release 7 — day 42, single dose

2021-04-22

Symptoms: missed period, heart palpitations, easy bruising

Release 10 — days 1–6 daily, dose 2

2021-12-03

Systemic reaction (other): racing heart

2021-12-04

Systemic reaction (other): fleeting chest pain, heart palpitations

2021-12-07

Systemic reaction (other): low back pain

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	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Increased tendency to bruise	·	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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