6BC-15724-60554

2 vaccinations 7 coded responses 30 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 027 / MA
Registered: 2021-03-08

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Janssen/Johnson & Johnson
2021-03-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-07
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-06
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-23
Dose 2 — Moderna
2021-12-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-12-27
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good

Free text: Runny nose, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — day 7, dose 2
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good

Free text: Runny nose congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — day 14, dose 2
MedDRA: Ovarian cyst ruptured — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Ruptured Ovarian Cyst

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-01-10
Call 1 — Left Voicemail
2022-01-13
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
2022-01-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-02-03
Survey response — day 42, dose 2
MedDRA: Ovarian cyst ruptured — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: 2nd ovarian cyst rupture

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Survey response — 3 months, dose 2
MedDRA: Sinus congestion — Feeling: Fair

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Miscarriage

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Report sent to call center — 6 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

Emergency room or emergency department visit · 1 call case(s)
2022-06-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Janssen/Johnson & Johnson
2	2021-12-23	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-06	Successful 2022-06-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-23	Successful 2022-06-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 10 — days 1–6 daily, dose 2

2021-12-27

Systemic reaction (other): Sore throat

2021-12-28

Systemic reaction (other): Runny nose, congestion

Release 10 — day 7, dose 2

2021-12-30

Systemic reaction (other): Runny nose congestion

Release 10 — day 14, dose 2

2022-01-06

Symptoms: Ruptured Ovarian Cyst

Release 11 — day 42, dose 2

2022-02-03

Symptoms: 2nd ovarian cyst rupture

Release 11 — 3 months, dose 2

2022-03-24

Symptoms: Sinus congestion

Release 12 — 6 months, dose 2

2022-06-23

Symptoms: Miscarriage

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	Abortion spontaneous	·	·	✓
SD	Ovarian cyst ruptured	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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