62Z-20149-84423

3 vaccinations 16 coded responses 35 check-ins 14 free-text entries 6 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 285 / NC
Registered: 2021-03-29

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

2021-03-27
Dose 1 — Janssen/Johnson & Johnson
2021-03-29
Registered in v-safe
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Metallic taste in mouth, started right after injection, starting to fade now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Defaecation urgency, Diarrhoea, Gastrointestinal pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: GI cramping, some urgency but only slightly loose bowels

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache, Insomnia, Pain, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Fatigue from lack of sleep most likely. Aches and headaches from pre-existing conditions almost certainly now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: Hypermobile Ehlers-Danlos Syndrome and fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-10
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-19
Survey response — day 21, single dose
MedDRA: Abdominal pain, Angiopathy, Condition aggravated, Emergency care, Medical counselling, Peripheral swelling, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Severe addominal cramping & leg swelling. Went to ER on PCP advice, CLOT RULED OUT. Sx likely due to pre-existing vascular issues. F/u with vasc surgery scheduled for early next month.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 21, single dose
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 42, single dose
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chronic venous insufficiency dx'd worse bilaterally; possible CSF leak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 42, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Call 2 — Could Not Reach Participant
2021-05-21
Call 3 — Left Voicemail
2021-06-26
Survey response — 3 months, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Silent GERD - imaging confirmed. Pre-existing, just has gotten much worse, likely due to known connective tissue disorder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Call 2 — Left Voicemail
2021-09-25
Survey response — 6 months, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Unrelated to COVID. Mechanical GERD 2Â° to surgery in 2019.

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-09-28
Call 2 — Left Voicemail
2021-11-05
Dose 2 — Moderna
2021-11-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-12-10
Survey response — day 35, dose 2
MedDRA: Sinusitis — Feeling: Fair

Free text: Sinus infection from changing weather conditions

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-04
Survey response — 3 months, dose 2
MedDRA: Exposure to SARS-CoV-2, Fatigue, Paranasal sinus discomfort, SARS-CoV-2 test negative, Sinus congestion, Throat irritation, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus pressure and congestion, post-nasal drip, scratchy throat from drainage, fatigue. * Exposure to 2 COVID+ people this week - spouse & in-law, spouse residing with me. My test was negative, but told to presume positive even w/o sx due to spouse.

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-10-10
Dose 3 — Moderna
Co-administered: Flu
2022-10-10
Survey response — day 0, dose 3
MedDRA: Dizziness, Injection site reaction, Musculoskeletal stiffness — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Dizziness, stiffness in injection site muscle

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Hyperhidrosis — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness, sudden sweating upon movement

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-10-16
Survey response — days 1–6 daily, dose 3
MedDRA: Allergic respiratory symptom, Nasal congestion — Feeling: Fair · Fatigue or tiredness

Free text: Nasal congestion - seasonal allergy symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-10-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-11-21
Survey response — day 42, dose 3
MedDRA: Myalgia, Office visit, Trigger points — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Increased pain & trigger points in lateral intracoastal muscles. · Healthcare visit (other): Reg. Pain management appointment w/x-rays

MedDRA releases: 2024-11 · check-in free text available
2022-11-21
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-22
Call 2 — Left Voicemail
2022-11-22
Call X — Left Voicemail
2022-11-22
Call 3 — Left Voicemail
2022-11-22
Call 3 — Left Voicemail
2022-11-22
Call 2 — Left Voicemail
2023-01-10
Survey response — 3 months, dose 3
MedDRA: Paranasal sinus hypersecretion, Sinus congestion — Feeling: Fair

MedDRA releases: 2024-11
2023-04-10
Survey response — 6 months, dose 3
MedDRA: Arthritis, Office visit, Tendonitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-10
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Janssen/Johnson & Johnson
2	2021-11-05	Moderna	No
3	2022-10-10	Moderna	Flu

Call center

6 call center cases

6 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): Metallic taste in mouth, started right after injection, starting to fade now.

2021-03-30

Systemic reaction (other): GI cramping, some urgency but only slightly loose bowels

2021-04-01

Systemic reaction (other): Fatigue from lack of sleep most likely. Aches and headaches from pre-existing conditions almost certainly now.

2021-04-02

Systemic reaction (other): Hypermobile Ehlers-Danlos Syndrome and fibromyalgia

Release 7 — day 21, single dose

2021-04-19

Symptoms: Severe addominal cramping & leg swelling. Went to ER on PCP advice, CLOT RULED OUT. Sx likely due to pre-existing vascular issues. F/u with vasc surgery scheduled for early next month.

Release 8 — day 42, single dose

2021-05-08

Symptoms: Chronic venous insufficiency dx'd worse bilaterally; possible CSF leak

Release 9 — 3 months, dose 1

2021-06-26

Symptoms: Silent GERD - imaging confirmed. Pre-existing, just has gotten much worse, likely due to known connective tissue disorder.

Release 9 — 6 months, dose 1

2021-09-25

Symptoms: Unrelated to COVID. Mechanical GERD 2Â° to surgery in 2019.

Release 10 — day 35, dose 2

2021-12-10

Symptoms: Sinus infection from changing weather conditions

Release 11 — 3 months, dose 2

2022-02-04

Symptoms: Sinus pressure and congestion, post-nasal drip, scratchy throat from drainage, fatigue. * Exposure to 2 COVID+ people this week - spouse & in-law, spouse residing with me. My test was negative, but told to presume positive even w/o sx due to spouse. cut off by CDC

Release 12 — day 0, dose 3

2022-10-10

Systemic reaction (other): Dizziness, stiffness in injection site muscle

Release 12 — days 1–6 daily, dose 3

2022-10-11

Systemic reaction (other): Dizziness, sudden sweating upon movement

2022-10-16

Systemic reaction (other): Nasal congestion - seasonal allergy symptoms

Release 12 — day 42, dose 3

2022-11-21

Symptoms: Increased pain & trigger points in lateral intracoastal muscles.

Healthcare visit (other): Reg. Pain management appointment w/x-rays

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	Office visit	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Angiopathy	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Medical counselling	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Tendonitis	·	·	✓
SD	Throat irritation	·	·	✓
SD	Trigger points	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Allergic respiratory symptom	·	·	✓
SRO	Defaecation urgency	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gastrointestinal pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site reaction	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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