62J-13650-33904

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 977 / OR
Registered: 2021-04-13

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

2021-04-07
Dose 1 — Janssen/Johnson & Johnson
2021-04-13
Registered in v-safe
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm — Feeling: Fair · Fatigue or tiredness

Free text: Eyelid spasm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: Blepharospasm, Muscle spasms, Rash — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: The rash was a reaction to a lotion Ive been using for weeks that Ive never had a reaction to also an eyelid spasm and a mild Charlie horse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 14, dose 1
MedDRA: Blepharospasm, Muscle spasms, Musculoskeletal pain, Rash, Swelling of eyelid — Feeling: Good · Be unable to do your normal daily activities

Free text: Eyelid twitch and swollen eyelid still, full body rash one day, severe shoulder blade pain two days, Charlie horse in calf still but less as time goes on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 28, single dose
MedDRA: Pain in extremity, Unevaluable event — 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: Symptoms: My arm still hurts bad but I find it hard to believe so it may be from something else, I cant believe an injection site can hurt for 3 weeks. · Healthcare visit (other): Its tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 28, single dose
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Survey response — day 35, single dose
MedDRA: Blepharospasm, Brain fog, Chest discomfort, Headache, Nausea, Office visit, Pain, Paraesthesia — Feeling: Good · 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: I went to my neurology doctor for worsening neurological symptoms (I thought I herniated my c-3/4) and hes concerned that the vaccine may have caused my chest up numbness, tingling, pain, eye lid spasms and intense brain fog, not another disc hern

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 35, single dose
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Call 1 — Left Voicemail
2021-05-29
Call 1 — Left Voicemail
2021-07-12
Survey response — 3 months, dose 1
MedDRA: Blepharospasm, Paraesthesia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My neurologist put me on meloxicam for vax side effects. I stopped 4 days and eye twitch and short tingling came back. Back on med and twitch gone, tingling better · Healthcare visit (other): Lab work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-15
Call 1 — Left Voicemail
2021-10-06
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-27
Dose 2 — Pfizer-BioNTech
2021-10-28
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: So sleepy

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
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: Good

Adult check-in
2021-12-12
Survey response — day 42, dose 2
MedDRA: Adverse reaction, Cough, Oral mucosal erythema, Ulcer — Feeling: Poor

Free text: Sores on chin Cough Red mouth Shrunk uvula

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Janssen/Johnson & Johnson
2	2021-10-27	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): Eyelid spasm

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): The rash was a reaction to a lotion Ive been using for weeks that Ive never had a reaction to also an eyelid spasm and a mild Charlie horse

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Eyelid twitch and swollen eyelid still, full body rash one day, severe shoulder blade pain two days, Charlie horse in calf still but less as time goes on

Release 8 — day 28, single dose

2021-05-05

Symptoms: My arm still hurts bad but I find it hard to believe so it may be from something else, I cant believe an injection site can hurt for 3 weeks.

Healthcare visit (other): Its tomorrow

Release 8 — day 35, single dose

2021-05-14

Symptoms: I went to my neurology doctor for worsening neurological symptoms (I thought I herniated my c-3/4) and hes concerned that the vaccine may have caused my chest up numbness, tingling, pain, eye lid spasms and intense brain fog, not another disc hern

Release 9 — 3 months, dose 1

2021-07-12

Symptoms: My neurologist put me on meloxicam for vax side effects. I stopped 4 days and eye twitch and short tingling came back. Back on med and twitch gone, tingling better

Healthcare visit (other): Lab work

Release 10 — days 1–6 daily, dose 2

2021-10-28

Systemic reaction (other): So sleepy

Release 10 — day 42, dose 2

2021-12-12

Symptoms: Sores on chin Cough Red mouth Shrunk uvula

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	Adverse reaction	·	·	✓
SD	Blepharospasm	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Cough	·	·	✓
SD	Headache	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oral mucosal erythema	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Swelling of eyelid	✓	✓	✓
SD	Ulcer	·	·	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Somnolence	·	·	✓

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