6SQ-15237-90112

3 vaccinations 9 coded responses 18 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 300 / GA
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

2021-04-10
Dose 1 — Janssen/Johnson & Johnson
2021-04-11
Registered in v-safe
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Cough & congestion

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: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site induration, Injection site rash, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My rash near the injection site is warm and surprisingly firm. Not hard, just firm like Im flexing the muscle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-17
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-24
Survey response — day 14, dose 1
MedDRA: Blindness, Headache, Nausea, Nervousness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea is back, headache, sensitive to temperature, shaky feeling in stomach, some moments of loss of vision like I might faint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 21, single dose
MedDRA: Abdominal pain, Asthenia, Dizziness, Fatigue, Gastrointestinal inflammation, Headache — Feeling: Fair · Be unable to work, 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: Fatigue, weakness, abdominal pain and light vibrations in abdominal area, GI inflammation, lightheadedness, headache (moderate today). Symptoms seem to be waning last 2 days, but were quite strong for the 4 to 5 days before that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 21, single dose
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Survey response — day 28, single dose
MedDRA: Asthenia, Fatigue, Gastrooesophageal reflux disease, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Acid reflux and fatigue have worsened, headache is milder again and a little of my energy is coming back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 42, single dose
MedDRA: Cough, Dyspnoea, Fatigue, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue today, lungs feel weak although my peak flow is still in a good range, tickle in my throat, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Call 1 — Left Voicemail
2021-07-11
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-10
Survey response — 6 months, dose 1
MedDRA: Cough, Disorientation, Dyspnoea, Fatigue, Taste disorder — Feeling: Fair · 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: Doctor has diagnosed as possible post-Covid symptoms from COVID May 2020. Continued symptoms: extreme fatigue, cough, some shortness of breath, some tastes still off. New symptoms: issues with spatial awareness, possibly minor balance issues

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-13
Call 1 — Left Voicemail
2021-11-24
Dose 2 — Pfizer-BioNTech
2022-09-22
Dose 3 — Pfizer-BioNTech
2022-10-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-10-22
Survey response — day 28, dose 3
MedDRA: Asthma — Feeling: Good · Be unable to do your normal daily activities

Free text: Asthma- this may be related to the weather rather than the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — day 35, dose 3
MedDRA: Dry throat, Headache, Respiratory tract congestion — Feeling: Fair

Free text: Headache, congestion, throat dryness

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2023-03-26
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Janssen/Johnson & Johnson
2	2021-11-24	Pfizer-BioNTech	No
3	2022-09-22	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

2021-04-11

Systemic reaction (other): Cough & congestion

2021-04-13

Systemic reaction (other): My rash near the injection site is warm and surprisingly firm. Not hard, just firm like Im flexing the muscle.

Release 7 — day 14, dose 1

2021-04-24

Symptoms: Nausea is back, headache, sensitive to temperature, shaky feeling in stomach, some moments of loss of vision like I might faint

Release 8 — day 21, single dose

2021-05-01

Symptoms: Fatigue, weakness, abdominal pain and light vibrations in abdominal area, GI inflammation, lightheadedness, headache (moderate today). Symptoms seem to be waning last 2 days, but were quite strong for the 4 to 5 days before that.

Release 8 — day 28, single dose

2021-05-10

Symptoms: Acid reflux and fatigue have worsened, headache is milder again and a little of my energy is coming back.

Release 8 — day 42, single dose

2021-05-22

Symptoms: Extreme fatigue today, lungs feel weak although my peak flow is still in a good range, tickle in my throat, cough

Release 10 — 6 months, dose 1

2021-10-10

Symptoms: Doctor has diagnosed as possible post-Covid symptoms from COVID May 2020. Continued symptoms: extreme fatigue, cough, some shortness of breath, some tastes still off. New symptoms: issues with spatial awareness, possibly minor balance issues

Release 12 — day 28, dose 3

2022-10-22

Symptoms: Asthma- this may be related to the weather rather than the vaccine.

Release 12 — day 35, dose 3

2022-10-27

Symptoms: Headache, congestion, throat dryness

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 pain	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Asthma	·	·	✓
SD	Blindness	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Disorientation	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dry throat	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal inflammation	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Nervousness	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Taste disorder	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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