6S4-22758-11784

4 vaccinations 11 coded responses 38 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 276 / NC
Registered: 2021-04-10

Relationship: Self
Race: Black or African American
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
Dose 1 — Janssen/Johnson & Johnson
2021-04-10
Registered in v-safe
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Headache, Pain, Pain in extremity, Visual impairment — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The night of the vaccine while sleeping, I experienced pain that started in my left shoulder and radiated all the way down to my knee joint, ankle joint and then my foot, and then the pain moved to my right shoulder and radiated down to my right knee joint, ankle joint, all the way down to my right foot. When I first atarted getting the headaches the night of the vaccine, I closed my eyes to ward off the pan and saw dark green and red squares

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: After being tired all day yesterday I have my usual energy back today

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: Malaise, Nasopharyngitis — Feeling: Fair · Fatigue or tiredness

Free text: I feel like I am about to catch a cold. I have that I am getting sick feeling in my upper respiratory system

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: Dry eye, Feeling abnormal — Feeling: Good

Free text: Felt foggy in my head and woke up with very dry eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Good

Free text: Had the foggy head feeling briefly today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Headache

Free text: My head felt foggy at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Had a great day!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 14, dose 1
MedDRA: Brain fog, Headache, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache and feeling like Im coming down with a cold. My head feels foggy at random times of every day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 21, single dose
MedDRA: Headache, Nasal congestion, Rhinorrhoea — Feeling: Good

Free text: Headaches and stuffy and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 35, single dose
Feeling: Good

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

Adult check-in
2021-07-09
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-23
Dose 2 — Moderna
2021-11-01
Health check-in — day 7, dose 2
Feeling: Fair · Headache · Be unable to work or attend school

Adult check-in
2021-11-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-27
Survey response — day 35, dose 2
MedDRA: Cough, Office visit, Respiration abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I've developed a persistent cough that only occurs if I am conversing. It's very hard to talk without coughing repeatedly. It's as if I have to choose to talk or not talk to breathe properly · Healthcare visit (other): Visited my primary care Dr who is treating me with Flonase snd Zyrtec

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-01
Call 1 — Left Voicemail
2021-12-05
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: Office visit, Productive cough, SARS-CoV-2 test negative, Viral infection — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Persistent sputum producing cough past two weeks. Tested negative for Covid · Healthcare visit (other): Dr ruled out Covid. Said likely some type of virus

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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail
2022-05-04
Dose 3 — Pfizer-BioNTech
2022-05-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-07
Dose 4 — Pfizer-BioNTech
2022-10-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Janssen/Johnson & Johnson
2	2021-10-23	Moderna	No
3	2022-05-04	Pfizer-BioNTech	No
4	2022-09-07	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): The night of the vaccine while sleeping, I experienced pain that started in my left shoulder and radiated all the way down to my knee joint, ankle joint and then my foot, and then the pain moved to my right shoulder and radiated down to my right knee joint, ankle joint, all the way down to my right foot. When I first atarted getting the headaches the night of the vaccine, I closed my eyes to ward off the pan and saw dark green and red squares

2021-04-11

Systemic reaction (other): After being tired all day yesterday I have my usual energy back today

2021-04-12

Systemic reaction (other): I feel like I am about to catch a cold. I have that I am getting sick feeling in my upper respiratory system

2021-04-13

Systemic reaction (other): Felt foggy in my head and woke up with very dry eyes

2021-04-14

Systemic reaction (other): Had the foggy head feeling briefly today

2021-04-15

Systemic reaction (other): My head felt foggy at times

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): Had a great day!

Release 7 — day 14, dose 1

2021-04-23

Symptoms: Headache and feeling like Im coming down with a cold. My head feels foggy at random times of every day

Release 8 — day 21, single dose

2021-04-30

Symptoms: Headaches and stuffy and runny nose

Release 10 — day 35, dose 2

2021-11-27

Symptoms: I've developed a persistent cough that only occurs if I am conversing. It's very hard to talk without coughing repeatedly. It's as if I have to choose to talk or not talk to breathe properly

Healthcare visit (other): Visited my primary care Dr who is treating me with Flonase snd Zyrtec

Release 11 — 6 months, dose 2

2022-04-23

Symptoms: Persistent sputum producing cough past two weeks. Tested negative for Covid

Healthcare visit (other): Dr ruled out Covid. Said likely some type of virus

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	Office visit	·	·	✓
HCVO	Viral infection	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Cough	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Respiration abnormal	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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