6C4-21197-37531

3 vaccinations 7 coded responses 34 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 950 / CA
Registered: 2021-03-06

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

2021-03-05
Dose 1 — Janssen/Johnson & Johnson
2021-03-06
Registered in v-safe
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-19
Survey response — day 14, dose 1
MedDRA: Chest discomfort, Cough, Rhinorrhoea, Seasonal allergy — Feeling: Fair

Free text: Like seasonal allergies, tho more sniffing and coughing and periodic tight lungs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-03
Survey response — 6 months, dose 1
MedDRA: Headache, Medical counselling, Pre-existing disease, SARS-CoV-2 test negative, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus allergies and headaches seem worse, more persistent, require more medication. (Could be due to wildfire smoke / pollutants). · Healthcare visit (other): Covid test (neg); pharmacist consultation.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Call 1 — Could Not Reach Participant
2021-09-15
Call 2 — Could Not Reach Participant
2021-10-23
Dose 2 — Moderna
2021-10-30
Survey response — day 7, dose 2
MedDRA: Sinus congestion — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Sinus Congestion.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Paranasal sinus discomfort — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, sinus pressure and headaches.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — day 21, dose 2
MedDRA: Headache, Nausea, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, nausea, sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-23
Survey response — 6 months, dose 2
MedDRA: Cyst, Disturbance in attention, Memory impairment, Ophthalmic migraine, Palpitations, Pre-existing disease, Sinus congestion — 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: Ocular migraine, attention and memory issues, racing heart beat, severe sinus congestion/allergies and newfound cysts

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail
2022-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-06
Dose 3 — Moderna
2022-05-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-05-06
Survey response — 12 months, dose 3
MedDRA: Brain fog, Vitreous floaters — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-05-06
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-05-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Janssen/Johnson & Johnson
2	2021-10-23	Moderna	No
3	2022-05-06	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Like seasonal allergies, tho more sniffing and coughing and periodic tight lungs.

Release 9 — 6 months, dose 1

2021-09-03

Symptoms: Sinus allergies and headaches seem worse, more persistent, require more medication. (Could be due to wildfire smoke / pollutants).

Healthcare visit (other): Covid test (neg); pharmacist consultation.

Release 10 — day 7, dose 2

2021-10-30

Systemic reaction (other): Sinus Congestion.

Release 10 — day 14, dose 2

2021-11-06

Symptoms: Fatigue, sinus pressure and headaches.

Release 10 — day 21, dose 2

2021-11-14

Symptoms: Headaches, nausea, sinus congestion

Release 11 — 6 months, dose 2

2022-04-23

Symptoms: Ocular migraine, attention and memory issues, racing heart beat, severe sinus congestion/allergies and newfound cysts

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	Medical counselling	✓	·	✓
HCVO	SARS-CoV-2 test negative	✓	·	✓
SD	Brain fog	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Cyst	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Memory impairment	·	·	✓
SD	Nausea	·	·	✓
SD	Ophthalmic migraine	·	·	✓
SD	Palpitations	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Seasonal allergy	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Unevaluable event	✓	·	✓
SD	Vitreous floaters	·	·	✓
SRO	Sinus congestion	·	·	✓

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