5SW-11864-05661

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 017 / MA
Registered: 2021-03-06

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

Timeline

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

2021-03-05
Dose 1 — Janssen/Johnson & Johnson
2021-03-06
Registered in v-safe
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Retching — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Dry heaves and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bad taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Taste disorder — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Bad taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-26
Survey response — day 21, single dose
MedDRA: Dysgeusia, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: The foul taste in my moth persists. Ive had muscle weakness come on suddenly such that my legs buckle under me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 28, single dose
MedDRA: Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: A rash that started five days after the vaccine worsened. The itching is furious.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 28, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Call 1 — Left Voicemail
2021-04-09
Survey response — day 35, single dose
MedDRA: Dysgeusia, Office visit, Oral disorder, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued bad taste Continued itching all overLesion in my mouth · Healthcare visit (other): Dentist to rule out causes for bad taste and lesion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 35, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Call successful
Participant prefers to complete VAERS report online
2021-04-12
Call 1 — Left Voicemail
2021-04-16
Survey response — day 42, single dose
MedDRA: Dyspnoea, Headache, Oral disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: A lesion in my mouth. Difficulty breathingSudden headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 42, single dose
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Call 1 — Left Voicemail
2021-06-06
Survey response — 3 months, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Breathing issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call 1 — Left Voicemail
2021-09-03
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-22
Dose 2 — Pfizer-BioNTech
2021-10-31
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness · Joint pains, Nausea, Diarrhea

Adult check-in
2021-11-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-11-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Janssen/Johnson & Johnson
2	2021-10-22	Pfizer-BioNTech	No

Call center

4 call center cases

1 successful · 3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Dry heaves and cough

2021-03-10

Systemic reaction (other): Bad taste

2021-03-11

Systemic reaction (other): Bad taste

Release 6 — day 21, single dose

2021-03-26

Symptoms: The foul taste in my moth persists. Ive had muscle weakness come on suddenly such that my legs buckle under me.

Release 6 — day 28, single dose

2021-04-02

Symptoms: A rash that started five days after the vaccine worsened. The itching is furious.

Release 7 — day 35, single dose

2021-04-09

Symptoms: Continued bad taste Continued itching all overLesion in my mouth

Healthcare visit (other): Dentist to rule out causes for bad taste and lesion

Release 7 — day 42, single dose

2021-04-16

Symptoms: A lesion in my mouth. Difficulty breathingSudden headaches

Release 8 — 3 months, dose 1

2021-06-06

Symptoms: Breathing issues

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	Dysgeusia	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Oral disorder	✓	✓	✓
SD	Dysgeusia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Oral disorder	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Retching	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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