64L-25953-60285

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 917 / CA
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-07
Dose 1 — Janssen/Johnson & Johnson
2021-04-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Headache

Free text: Have slight cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dyspnoea — Feeling: Good

Free text: Tightness in chest, with some shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Immediate post-injection reaction — Feeling: Good

Free text: I did not have any injection site pain, But I developed a cough within about 15 minutes of my receiving the vaccination. Could there have been air in the needle when the vacc was administered? I developed a short cough with about 15 minutes to half an hour after receiving the vaccination.

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: Dyspnoea — Feeling: Good

Free text: Shortness of breath. Zero inject. Site pain

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: Cough, Dyspnoea — Feeling: Good

Free text: Just some shortness of breath and a little cough since the day I've had the or receive the vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: Dyspnoea, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Same ol', same ol', but then nobody (obviously) is reading these remarks. I've had shortness of breath from day 1. Why not include those in your list of symptoms? · Healthcare visit (other): I'm going to ER, at the recommendation from Kaiser Perm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Call 1 — Left Voicemail
2021-04-24
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-10-08
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-21
Dose 2 — Pfizer-BioNTech
2021-12-22
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Very slight fatique

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Sleep disorder — Feeling: Good

Free text: I woke up at 1 AM with pain in my shin. I don't know if it's related to the vaccine or not.

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2022-01-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-01-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-02-01
Survey response — day 42, dose 2
MedDRA: Back injury, Fall, Malaise — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: I slipped in my driveway and hurt my back. I haven't been feeling well the last several days. Still, it is unrelated to my Covid vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Report sent to call center — day 42, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Janssen/Johnson & Johnson
2	2021-12-21	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Have slight cough

2021-04-10

Systemic reaction (other): Tightness in chest, with some shortness of breath

2021-04-11

Systemic reaction (other): I did not have any injection site pain, But I developed a cough within about 15 minutes of my receiving the vaccination. Could there have been air in the needle when the vacc was administered? I developed a short cough with about 15 minutes to half an hour after receiving the vaccination.

2021-04-12

Systemic reaction (other): Shortness of breath. Zero inject. Site pain

2021-04-13

Systemic reaction (other): Just some shortness of breath and a little cough since the day I've had the or receive the vaccination

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): Same ol', same ol', but then nobody (obviously) is reading these remarks. I've had shortness of breath from day 1. Why not include those in your list of symptoms?

Healthcare visit (other): I'm going to ER, at the recommendation from Kaiser Perm

Release 10 — days 1–6 daily, dose 2

2021-12-22

Systemic reaction (other): Very slight fatique

2021-12-24

Systemic reaction (other): I woke up at 1 AM with pain in my shin. I don't know if it's related to the vaccine or not.

Release 11 — day 42, dose 2

2022-02-01

Symptoms: I slipped in my driveway and hurt my back. I haven't been feeling well the last several days. Still, it is unrelated to my Covid vaccine.

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	Back injury	·	·	✓
SD	Fall	·	·	✓
SD	Malaise	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Sleep disorder	·	·	✓

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