6AV-92878-60300

3 vaccinations 7 coded responses 42 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 841 / UT
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Janssen/Johnson & Johnson
2021-03-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 21, single dose
MedDRA: Oral herpes — Feeling: Good

Free text: Really big cold sore under my nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-16
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-09-15
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-10
Dose 2 — Moderna
Co-administered: Shingles
2021-12-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-12-12
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: These are the same symptoms as yesterday, but not as bad as yesterday.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-12-25
Survey response — day 14, dose 2
MedDRA: Urinary tract infection — Feeling: Good

Free text: Urinary tract infection

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-01-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-11
Survey response — 3 months, dose 2
MedDRA: Brain fog, Fatigue, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Head cold-like symptoms with extreme tiredness, fatigue, brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Dose 3 — Moderna
2022-05-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-22
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-28
Survey response — day 14, dose 3
MedDRA: Arthralgia, Diarrhoea, Fatigue, Nasal congestion, Oropharyngeal pain, Pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities

Free text: Diarrhea, body aches, joint pain, sore throat, severe fatigue, nasal congestion. Started yesterday afternoon. Negative iHealth home test for COVID this morning.

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Survey response — day 21, dose 3
MedDRA: Conjunctivitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pink eye

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-06
Call 1 — Left Voicemail
2022-06-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-13
Survey response — 3 months, dose 3
MedDRA: Sinusitis — 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

Free text: Sinus infection. Took amoxicillin. I'm doing much better now, generally.

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Report sent to call center — 3 months, dose 3
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)
2022-08-15
Call 2 — Left Voicemail
2022-08-15
Call 1 — Left Voicemail
2022-11-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-05-18
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Janssen/Johnson & Johnson
2	2021-12-10	Moderna	Shingles
3	2022-05-14	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, single dose

2021-04-07

Symptoms: Really big cold sore under my nose.

Release 10 — days 1–6 daily, dose 2

2021-12-12

Systemic reaction (other): These are the same symptoms as yesterday, but not as bad as yesterday.

Release 10 — day 14, dose 2

2021-12-25

Symptoms: Urinary tract infection

Release 11 — 3 months, dose 2

2022-03-11

Symptoms: Head cold-like symptoms with extreme tiredness, fatigue, brain fog

Release 11 — day 14, dose 3

2022-05-28

Symptoms: Diarrhea, body aches, joint pain, sore throat, severe fatigue, nasal congestion. Started yesterday afternoon. Negative iHealth home test for COVID this morning.

Release 11 — day 21, dose 3

2022-06-05

Symptoms: Pink eye

Release 12 — 3 months, dose 3

2022-08-13

Symptoms: Sinus infection. Took amoxicillin. I'm doing much better now, generally.

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	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oral herpes	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Adverse reaction	·	·	✓

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