6JH-81134-39937

3 vaccinations 10 coded responses 42 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 017 / MA
Registered: 2021-04-07

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Registered dependents

HQ8-11280-97099 Child or adolescent in my care · Female · 2021-11-03

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Janssen/Johnson & Johnson
2021-04-07
Health check-in — day 0, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Site: Redness, Swelling · Diarrhea

Free text: I needed 2 puffs of albuterol but I don't know if it's related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Diarrhea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · Headache

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Headache, Self-medication, Wheezing — Feeling: Fair

Free text: Periodic headache requiring tylenolPeriodic wheezing requiring albuterol

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 21, single dose
MedDRA: Hypoaesthesia, Paraesthesia, Swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Numb, tingling in leg and foot. Slightly swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 21, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-05-27
Call 1 — Left Voicemail
2021-07-07
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-06
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-02
Dose 2 — Moderna
2021-11-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Rhinorrhoea, Wheezing — Feeling: Fair · Site: Pain

Free text: Wheezing, cough, runny nose. Needed to use Albuterol

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Fair

Free text: Same as yesterday - cough, runny nose, need to use Albuterol

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Rhinorrhoea, Wheezing — Feeling: Fair

Free text: Continue to have wheezing, cough, running nose. Still need to use Albuterol

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Rhinorrhoea, Wheezing — Feeling: Good

Free text: Continue wheezing, cough, running nose, need Albuterol

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — day 7, dose 2
MedDRA: Cough, Rhinorrhoea, Wheezing — Feeling: Fair

Free text: Continue with wheezing, cough, runny nose, need Albuterol

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 14, dose 2
MedDRA: Asthma, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had to see doctor for asthma flare and added steroid inhaler to manage

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-17
Call 1 — Left Voicemail
2021-11-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-11-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-05-03
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-09-09
Dose 3 — Moderna
2022-09-09
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-09-10
Survey response — days 1–6 daily, dose 3
MedDRA: Wheezing — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Wheezing so needed Albuterol

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-09-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-09-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-12-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-03-11
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Janssen/Johnson & Johnson
2	2021-11-02	Moderna	No
3	2022-09-09	Moderna	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): I needed 2 puffs of albuterol but I don't know if it's related.

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Periodic headache requiring tylenolPeriodic wheezing requiring albuterol

Release 8 — day 21, single dose

2021-04-28

Symptoms: Numb, tingling in leg and foot. Slightly swollen.

Release 10 — days 1–6 daily, dose 2

2021-11-04

Systemic reaction (other): Wheezing, cough, runny nose. Needed to use Albuterol

2021-11-05

Systemic reaction (other): Same as yesterday - cough, runny nose, need to use Albuterol

2021-11-07

Systemic reaction (other): Continue to have wheezing, cough, running nose. Still need to use Albuterol

2021-11-08

Systemic reaction (other): Continue wheezing, cough, running nose, need Albuterol

Release 10 — day 7, dose 2

2021-11-09

Systemic reaction (other): Continue with wheezing, cough, runny nose, need Albuterol

Release 10 — day 14, dose 2

2021-11-16

Symptoms: Had to see doctor for asthma flare and added steroid inhaler to manage

Release 12 — days 1–6 daily, dose 3

2022-09-10

Systemic reaction (other): Wheezing so needed Albuterol

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	Asthma	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Office visit	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Wheezing	·	·	✓

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