674-27567-02511

2 vaccinations 14 coded responses 26 check-ins 14 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 040 / ME
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Janssen/Johnson & Johnson
2021-04-09
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Injection site pain, Myalgia — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Muscle ache and fatigue are now localized to arm that was injected. However pain/fatigue in that arm, as well as pain of injection site to the touch are the worst they have been so far.

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: Injection site erythema, Muscular weakness, Urticaria — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Again pretty much limited to arm that was injected, but still muscles in that arm very weak. Redness around injection site has increased, about the size of a half dollar coin, but not circular, more like a hive.

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: Injection site erythema, Injection site pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Redness around injection site is increasing in size. Pain in site has not decreased at all.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle fatigue — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Muscle fatigue present most intensely in biceps, but overall as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Survey response — day 14, dose 1
MedDRA: Medical counselling, Rash — Feeling: Good

Free text: Rash on arm, not at injection site. Very likely unrelated and just contact dermatitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 28, single dose
MedDRA: Cyst — 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: Developed a large, deep cyst.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
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: Adverse drug reaction, Anal abscess, Diarrhoea, Faecaloma, Pre-existing disease — Feeling: Fair · 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: Perianal abscess, impacted rectum, severe diarrhea (likely antibiotic associated.)

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)
2021-05-21
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-05-29
Call 1 — Left Voicemail
2021-05-29
Call 1 — Left Voicemail
2021-07-09
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-08
Survey response — 6 months, dose 1
MedDRA: Anal fistula, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Peri-anal fistula · Healthcare visit (other): Outpatient surgery

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2021-10-12
Call 1 — Could Not Reach Participant
2021-10-15
Call 2 — Left Voicemail
2021-10-29
Dose 2 — Pfizer-BioNTech
Co-administered: Flu
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Rash around injection site. Looks like a classic bullseye rash with injection site in the center.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still has bullseye rash around injection site, rash is growing in size.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 7, dose 2
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat and pain in ear canal upon swallowing.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 14, dose 2
Feeling: Fair

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

Adult check-in
2021-11-27
Survey response — day 28, dose 2
MedDRA: Visual impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: I got the HPV vaccine; after that experience an increase in vision brownouts and blackouts and am continuing to see spots in the corners of my eyes.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-12
Survey response — day 42, dose 2
MedDRA: Blindness, Dizziness, Fatigue, Headache, Muscle fatigue, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Tunnel vision — 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

Free text: Symptoms: Exhaustion, muscle fatigue, lightheaded, tunnel vision, vision black outs, runny/stuffy nose, sore throat, headaches. · Healthcare visit (other): Covid Test - Negative

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
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 · 1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2022-01-30
Survey response — 3 months, dose 2
MedDRA: COVID-19 — Feeling: Good · 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: Got Covid.

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — 3 months, 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)
2022-02-01
Call 1 — Left Voicemail
2022-04-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Janssen/Johnson & Johnson
2	2021-10-29	Pfizer-BioNTech	Flu

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): Muscle ache and fatigue are now localized to arm that was injected. However pain/fatigue in that arm, as well as pain of injection site to the touch are the worst they have been so far.

2021-04-12

Systemic reaction (other): Again pretty much limited to arm that was injected, but still muscles in that arm very weak. Redness around injection site has increased, about the size of a half dollar coin, but not circular, more like a hive.

2021-04-13

Systemic reaction (other): Redness around injection site is increasing in size. Pain in site has not decreased at all.

2021-04-15

Systemic reaction (other): Muscle fatigue present most intensely in biceps, but overall as well.

Release 7 — day 14, dose 1

2021-04-23

Symptoms: Rash on arm, not at injection site. Very likely unrelated and just contact dermatitis.

Release 8 — day 28, single dose

2021-05-07

Symptoms: Developed a large, deep cyst.

Release 8 — day 35, single dose

2021-05-14

Symptoms: Perianal abscess, impacted rectum, severe diarrhea (likely antibiotic associated.)

Release 10 — 6 months, dose 1

2021-10-08

Symptoms: Peri-anal fistula

Healthcare visit (other): Outpatient surgery

Release 10 — days 1–6 daily, dose 2

2021-11-02

Systemic reaction (other): Rash around injection site. Looks like a classic bullseye rash with injection site in the center.

2021-11-03

Systemic reaction (other): Still has bullseye rash around injection site, rash is growing in size.

Release 10 — day 7, dose 2

2021-11-05

Systemic reaction (other): Sore throat and pain in ear canal upon swallowing.

Release 10 — day 28, dose 2

2021-11-27

Symptoms: I got the HPV vaccine; after that experience an increase in vision brownouts and blackouts and am continuing to see spots in the corners of my eyes.

Release 10 — day 42, dose 2

2021-12-12

Symptoms: Exhaustion, muscle fatigue, lightheaded, tunnel vision, vision black outs, runny/stuffy nose, sore throat, headaches.

Healthcare visit (other): Covid Test - Negative

Release 11 — 3 months, dose 2

2022-01-30

Symptoms: Got Covid.

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	SARS-CoV-2 test negative	·	·	✓
HCVO	Surgery	·	·	✓
SD	Adverse drug reaction	○	✓	○
SD	Anal abscess	✓	✓	✓
SD	Anal fistula	·	·	✓
SD	Blindness	·	·	✓
SD	COVID-19	·	·	✓
SD	Cyst	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Faecaloma	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Medical counselling	✓	✓	✓
SD	Muscle fatigue	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Tunnel vision	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site rash	·	·	✓
SRO	Muscle fatigue	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Urticaria	✓	✓	✓

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