6TM-13950-81491

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 782 / TX
Registered: 2021-03-18

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Janssen/Johnson & Johnson
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: My eyes were burning yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Taste disorder — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of appetite... Food tasted bland

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Hypoaesthesia oral — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Loss of appetite, center of tongue is numb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 28, single dose
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-04-29
Survey response — day 42, single dose
MedDRA: Chest discomfort, Dyspnoea — Feeling: Poor

Free text: I've been having issues taking deep breaths... My lungs feel heavy. I don't know if it's related to the vaccine... But my family is still very strict about quarantine, so I don't see how I'd catch a bug from someone else.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — 3 months, dose 1
MedDRA: Hyperthyroidism, Peripheral swelling, Pre-existing disease — Feeling: Poor · Be unable to work or attend school

Free text: Have started taking a beta blocker & a water pill. My thyroid also switched from hypo to hyper.Experiencing swelling in my hands & feet for the first time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-16
Survey response — 6 months, dose 1
MedDRA: Peripheral swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swelling in hands and feet. Started taking a diuretic. Taking a beta blocker. Thyroid meds had to be adjusted.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Dose 2 — Pfizer-BioNTech
Co-administered: Flu
2021-10-31
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-11-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-11-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-23
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-04-22
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-10-22
Survey response — 12 months, dose 2
MedDRA: Cholecystectomy, Pancreatic failure — Feeling: Poor · Be unable to do your normal daily activities

Free text: Exocrine Pancreatic Insufficiency Gallbladder Removal

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Janssen/Johnson & Johnson
2	2021-10-22	Pfizer-BioNTech	Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): My eyes were burning yesterday.

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Loss of appetite... Food tasted bland

2021-03-21

Systemic reaction (other): Loss of appetite, center of tongue is numb

Release 8 — day 42, single dose

2021-04-29

Symptoms: I've been having issues taking deep breaths... My lungs feel heavy. I don't know if it's related to the vaccine... But my family is still very strict about quarantine, so I don't see how I'd catch a bug from someone else.

Release 9 — 3 months, dose 1

2021-06-17

Symptoms: Have started taking a beta blocker & a water pill. My thyroid also switched from hypo to hyper.Experiencing swelling in my hands & feet for the first time.

Release 9 — 6 months, dose 1

2021-09-16

Symptoms: Swelling in hands and feet. Started taking a diuretic. Taking a beta blocker. Thyroid meds had to be adjusted.

Release 12 — 12 months, dose 2

2022-10-22

Symptoms: Exocrine Pancreatic Insufficiency Gallbladder Removal

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	Chest discomfort	✓	✓	✓
SD	Cholecystectomy	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Hyperthyroidism	✓	✓	✓
SD	Pancreatic failure	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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