5WJ-13370-22266 · OpenVSafe

Timeline

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

2021-03-20
Dose 1 — Janssen/Johnson & Johnson
2021-03-21
Registered in v-safe
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Immediate post-injection reaction — Feeling: Good · Site: Pain

Free text: Within the first 5 minutes of receiving the vaccine my heart rate rapidly increased. I check it at Walmart and it was 126. The increased heart rate last about 20-30 minutes. When I arrived home I checked my heart rate and it was 80.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headaches and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 21, single dose
MedDRA: Fatigue — Feeling: Fair

Free text: Extremely fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 28, single dose
MedDRA: Headache, Heart rate increased — Feeling: Poor

Free text: Rapid heart rate, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-06-19
Survey response — 3 months, dose 1
MedDRA: Headache, Sinus disorder — Feeling: Fair

Free text: Daily headache and sinus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-18
Health check-in — 6 months, dose 1
Feeling: Poor

Adult check-in
2021-10-22
Dose 2 — Moderna
2021-11-01
Health check-in — day 7, dose 2
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness

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

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

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

Adult check-in
2022-05-24
Dose 3 — Moderna
2022-06-05
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-07
Survey response — day 14, dose 3
MedDRA: Abdominal pain upper, Gastrooesophageal reflux disease, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Increase acid reflux and vomiting acid with stomach pain.

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-06-08
Call 1 — Left Voicemail
2022-06-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-14
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-06-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-07-05
Survey response — day 42, dose 3
MedDRA: Fatigue, Headache, Pain, Pyrexia, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, vomiting , body aches, fever, extremely fatigue.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Janssen/Johnson & Johnson
2	2021-10-22	Moderna	No
3	2022-05-24	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Within the first 5 minutes of receiving the vaccine my heart rate rapidly increased. I check it at Walmart and it was 126. The increased heart rate last about 20-30 minutes. When I arrived home I checked my heart rate and it was 80.

Release 6 — day 14, dose 1

2021-04-03

Symptoms: Headaches and fatigue

Release 7 — day 21, single dose

2021-04-12

Symptoms: Extremely fatigued

Release 7 — day 28, single dose

2021-04-17

Symptoms: Rapid heart rate, headaches

Release 9 — 3 months, dose 1

2021-06-19

Symptoms: Daily headache and sinus

Release 11 — day 14, dose 3

2022-06-07

Symptoms: Increase acid reflux and vomiting acid with stomach pain.

Release 12 — day 42, dose 3

2022-07-05

Symptoms: Headache, vomiting , body aches, fever, extremely 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	Abdominal pain upper	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓

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