5SN-27315-40773

4 vaccinations 20 coded responses 50 check-ins 19 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 240 / VA
Registered: 2021-04-08

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

Timeline

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Janssen/Johnson & Johnson
2021-04-08
Survey response — day 0, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal pain

Free text: My motion sickness is worse than normal...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Motion sickness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness & motion sickness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Motion sickness — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Motion sickness & dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Motion sickness — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Motion sickness & dizziness

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: Dizziness, Motion sickness, Ocular discomfort — Feeling: Fair · Fever · Chills, Headache, Nausea

Free text: Dizziness & motion sickness, pressure behind my eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Ear discomfort, Motion sickness, Ocular discomfort — Feeling: Fair · Fever · Headache

Free text: Dizziness & motion sickness; pressure in ears & behind eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 7, dose 1
MedDRA: Dizziness, Ocular discomfort, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, pressure behind my eyes and ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 14, dose 1
MedDRA: Dizziness, Headache, Motion sickness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headache, dizziness, & motion sickness stopped on 4/19/2021.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-12
Call 1 — Left Voicemail
2021-05-13
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-10-07
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-03
Dose 2 — Moderna
Co-administered: Flu
2021-11-05
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Neuropathy peripheral — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Redness at my cuticles on each digit and some neuropathy in my left leg.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Erythema, Incision site pain, Pain, Pre-existing disease — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Redness at cuticles, internal pain that feels like I had a surgery from 12/2019, pain/burning at incision sites from that same surgery 12/2019

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 2
MedDRA: Nail discolouration — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Slight discoloration around cuticles.

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Redness around cuticles

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenopia, Erythema — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Redness around cuticles, eyes feel heavy & tired

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 7, dose 2
MedDRA: Erythema — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Redness around cuticles

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-11-24
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-12-01
Survey response — day 28, dose 2
MedDRA: Discharge, Fatigue, Paranasal sinus discomfort, Pyrexia, Rash erythematous, Tongue eruption, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Since Sunday I have been feeling fatigued, feverish, sinus pressure, drainage, & today I have noticed red bumps under my tongue. I have contacted my doctor about an hour ago and am awaiting a call back now. · Healthcare visit (other): Called office for appointment today

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Report sent to call center — day 28, 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

1 call case(s)
2021-12-03
Call 2 — Left Voicemail
2021-12-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-12-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-02-02
Survey response — 3 months, dose 2
MedDRA: Abdominal discomfort, Headache, Heart rate increased, Nausea — Feeling: Poor · Be unable to work or attend school

Free text: Headache, nausea, digestive upset, increased heart rate, etc.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Dose 3 — Moderna
2022-05-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-05-05
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-05-12
Survey response — day 14, dose 3
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash on my right breast.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-05-26
Health check-in — day 28, dose 3
Feeling: Poor

Adult check-in
2022-06-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-06-09
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2022-07-28
Survey response — 3 months, dose 3
MedDRA: Allergic respiratory symptom, Arthralgia, Brain fog, Chills, Discharge, Headache, Pain, Paranasal sinus discomfort, Pyrexia, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache, symptoms like allergies (I.e., sneezing, drainage, sinus pressure, etc.), fever, chills, body aches, joint pain, fogginess in my head, etc.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-28
Dose 4 — Moderna
Co-administered: Flu
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Abdominal pain

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-04
Health check-in — day 7, dose 4
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-11-11
Survey response — day 14, dose 4
MedDRA: Chills, Cough, Headache, Paranasal sinus discomfort, Pyrexia, Sinusitis — Feeling: Poor · 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: Headache, cough, chills, fever, sinus pressure, and a diagnosis of sinus infection.

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Report sent to call center — day 14, dose 4
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)
2022-11-14
Call 2 — Left Voicemail
2022-11-14
Call 1 — Left Voicemail
2022-11-14
Call 1 — Left Voicemail
2022-11-18
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-09
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-29
Health check-in — 3 months, dose 4
Feeling: Poor

Adult check-in
2023-04-30
Survey response — 6 months, dose 4
MedDRA: Gastroenteritis viral, Pre-existing disease — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Janssen/Johnson & Johnson
2	2021-11-03	Moderna	Flu
3	2022-04-28	Moderna	No
4	2022-10-28	Moderna	Flu

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-08

Systemic reaction (other): My motion sickness is worse than normal...

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Dizziness & motion sickness

2021-04-11

Systemic reaction (other): Motion sickness & dizziness

2021-04-12

Systemic reaction (other): Motion sickness & dizziness

2021-04-13

Systemic reaction (other): Dizziness & motion sickness, pressure behind my eyes

2021-04-14

Systemic reaction (other): Dizziness & motion sickness; pressure in ears & behind eyes

Release 7 — day 7, dose 1

2021-04-15

Systemic reaction (other): Dizziness, pressure behind my eyes and ringing in my ears

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Headache, dizziness, & motion sickness stopped on 4/19/2021.

Release 10 — days 1–6 daily, dose 2

2021-11-05

Systemic reaction (other): Redness at my cuticles on each digit and some neuropathy in my left leg.

2021-11-06

Systemic reaction (other): Redness at cuticles, internal pain that feels like I had a surgery from 12/2019, pain/burning at incision sites from that same surgery 12/2019

2021-11-07

Systemic reaction (other): Slight discoloration around cuticles.

2021-11-08

Systemic reaction (other): Redness around cuticles

2021-11-09

Systemic reaction (other): Redness around cuticles, eyes feel heavy & tired

Release 10 — day 7, dose 2

2021-11-11

Systemic reaction (other): Redness around cuticles

Release 10 — day 28, dose 2

2021-12-01

Symptoms: Since Sunday I have been feeling fatigued, feverish, sinus pressure, drainage, & today I have noticed red bumps under my tongue. I have contacted my doctor about an hour ago and am awaiting a call back now.

Healthcare visit (other): Called office for appointment today

Release 11 — 3 months, dose 2

2022-02-02

Symptoms: Headache, nausea, digestive upset, increased heart rate, etc.

Release 11 — day 14, dose 3

2022-05-12

Symptoms: Rash on my right breast.

Release 12 — 3 months, dose 3

2022-07-28

Symptoms: Headache, symptoms like allergies (I.e., sneezing, drainage, sinus pressure, etc.), fever, chills, body aches, joint pain, fogginess in my head, etc.

Release 12 — day 14, dose 4

2022-11-11

Symptoms: Headache, cough, chills, fever, sinus pressure, and a diagnosis of sinus infection.

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	Abdominal discomfort	·	·	✓
SD	Allergic respiratory symptom	·	·	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Discharge	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Motion sickness	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	·	·	✓
SD	Tongue eruption	·	·	✓
SRO	Asthenopia	·	·	✓
SRO	Burning sensation	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Erythema	·	·	✓
SRO	Incision site pain	·	·	✓
SRO	Motion sickness	✓	✓	✓
SRO	Nail discolouration	·	·	✓
SRO	Neuropathy peripheral	·	·	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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