6SE-33929-65808

3 vaccinations 7 coded responses 29 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 193 / PA
Registered: 2021-04-11

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

2021-04-11
Registered in v-safe
2021-04-11
Dose 1 — Janssen/Johnson & Johnson
2021-04-11
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Nausea

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-02
Survey response — day 21, single dose
MedDRA: Abdominal discomfort, Dizziness — Feeling: Good

Free text: Dizzy and upset stomach

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

Adult check-in
2021-05-16
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-11
Health check-in — 3 months, dose 1
Feeling: Good

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

Adult check-in
2021-11-13
Dose 2 — Moderna
2022-04-11
Survey response — 12 months, dose 1
MedDRA: Ectopic pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Ectopic pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-13
Call 2 — Left Voicemail
2022-09-23
Dose 3 — Pfizer-BioNTech
2022-09-23
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-10-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-10-21
Survey response — day 28, dose 3
MedDRA: Cough, Rhinorrhoea, Throat irritation — Feeling: Fair

Free text: Scratchy throat, runny nose, cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — day 35, dose 3
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good

Free text: Congestion, sore throat, cough

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-03-24
Survey response — 6 months, dose 3
MedDRA: COVID-19 — 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

MedDRA releases: 2024-11
2023-03-24
Report sent to call center — 6 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)
2023-03-27
Call 1 — Left Voicemail
2023-03-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-11	Janssen/Johnson & Johnson
2	2021-11-13	Moderna	No
3	2022-09-23	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-11	Unsuccessful
2023-03-24	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-11

Systemic reaction (other): Dizziness

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): Light headed

Release 8 — day 21, single dose

2021-05-02

Symptoms: Dizzy and upset stomach

Release 11 — 12 months, dose 1

2022-04-11

Symptoms: Ectopic pregnancy

Release 12 — day 28, dose 3

2022-10-21

Symptoms: Scratchy throat, runny nose, cough

Release 12 — day 35, dose 3

2022-10-28

Symptoms: Congestion, sore throat, cough

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	Abdominal discomfort	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Ectopic pregnancy	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Dizziness	✓	✓	✓

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