6TY-15002-46275

2 vaccinations 17 coded responses 27 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 954 / CA
Registered: 2021-06-07

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

2021-06-07
Registered in v-safe
2021-06-07
Dose 1 — Janssen/Johnson & Johnson
2021-06-07
Survey response — day 0, dose 1
MedDRA: Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness — Feeling: Poor · Site: Pain · Chills, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Passed out after vaccine, after coming to, experienced profuse sweating for 10 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — days 1–6 daily, dose 1
MedDRA: Feeding disorder, Insomnia, Nausea, Unevaluable event, Vomiting — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Insomnia, still can't eat. Still taking anti nausea anti vomiting meds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Eating disorder, Pallor — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Still pale and light headed. Still having a hard time eating anything.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Decreased appetite, Dizziness, Dysstasia, Eating disorder, Gait disturbance, Impaired driving ability, Nausea, Pallor, Posture abnormal, Tremor, Unevaluable event — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Still pale, light headed, faint, nauseous. Very difficult to sit upright, stand, or walk. It's like the blood cannot stay in my face. Also chills was shaking / Tremor / teeth chattering. Still difficulty eating. · Healthcare visit (other): I tried to schedule a video appointment but none were available till next week and I can't safely drive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — days 1–6 daily, dose 1
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)
2021-06-11
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Headache, Tremor — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: I am starting to feel much better today. It no longer feels like all the blood is drained for my face and I'm not light headed and it's getting easier to eat. The headache, chills, tremors, Etc seemed to have passed now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Nausea — Feeling: Good · Nausea

Free text: Feeling much better and like my normal self. Just a little bit of nausea and slight lightheadedness hanging on still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Pyrexia, Swelling, Vascular pain — Feeling: Good · Fever

Free text: Since last night I've had brief waves of feeling hot/feverish (never had this in my life). Also a strange sore swollen vein on my left wrist. If it gets worse, I'll go to the doctor. Otherwise, feeling much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Just a little bit of dizziness Splash lightheadedness. Otherwise much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Call successful
Participant prefers to complete VAERS report online
2021-06-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-28
Survey response — day 21, single dose
MedDRA: Muscle spasms — Feeling: Good

Free text: A few days ago I woke up to excruciating cramps/spasm in my right calf. It was spasming all through my foot as well. It lasted a long time. It hurt a lot the next couple of days but I never saw anything visually on the surface of the skin. Still hur

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

Adult check-in
2021-07-12
Survey response — day 35, single dose
MedDRA: Polymenorrhoea — Feeling: Good

Free text: Only that the period I got after the vaccine came four days early, which is very unusual for me and now my most recent one came two days early.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-09-06
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2022-04-21
Dose 2 — Moderna
2022-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Chills, Headache

Free text: Just feels icy throughout the core of my body

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Neck pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2022-04-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2022-05-06
Survey response — day 14, dose 2
MedDRA: Chills, Feeling cold, Reaction to previous exposure to any vaccine — Feeling: Fair

Free text: I have still had that really ice cold chills all inside my bones and that really cold feeling in my face where it seems like I'm not getting enough blood there, similar to when I got the vaccine last time. I think it's slowly getting better.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-05-19
Survey response — day 28, dose 2
MedDRA: Menstruation irregular — Feeling: Good

Free text: I forgot to mention in past check-ins that my periods have been off since I got that vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — day 35, dose 2
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair

Free text: My period came early and lated 10 days which has never happened to me before. I also had cramps every day of it which I've never had before. It made it hard to work and just get through the day.

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Survey response — day 42, dose 2
MedDRA: Fatigue, Serum ferritin decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I kept getting more and more tired and my doctor did blood tests and my ferritin is very low. My entire life, I have always had high iron and have never had any issues with anemia.

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-06
Call 1 — Left Voicemail
2022-06-06
Call 1 — Left Voicemail
2022-07-21
Survey response — 3 months, dose 2
MedDRA: Cough, Pharyngeal disorder, Pyrexia, SARS-CoV-2 test negative, Viral infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I got a bad virus with a severe throat and cough and fevers for a couple of weeks. I did 6 days of Home tests and all of them were negative for covid.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-07	Janssen/Johnson & Johnson
2	2022-04-21	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-06-07

Systemic reaction (other): Passed out after vaccine, after coming to, experienced profuse sweating for 10 minutes

Release 8 — days 1–6 daily, dose 1

2021-06-08

Systemic reaction (other): Insomnia, still can't eat. Still taking anti nausea anti vomiting meds

2021-06-09

Systemic reaction (other): Still pale and light headed. Still having a hard time eating anything.

Release 9 — days 1–6 daily, dose 1

2021-06-10

Systemic reaction (other): Still pale, light headed, faint, nauseous. Very difficult to sit upright, stand, or walk. It's like the blood cannot stay in my face. Also chills was shaking / Tremor / teeth chattering. Still difficulty eating.

Healthcare visit (other): I tried to schedule a video appointment but none were available till next week and I can't safely drive.

2021-06-11

Systemic reaction (other): I am starting to feel much better today. It no longer feels like all the blood is drained for my face and I'm not light headed and it's getting easier to eat. The headache, chills, tremors, Etc seemed to have passed now.

2021-06-12

Systemic reaction (other): Feeling much better and like my normal self. Just a little bit of nausea and slight lightheadedness hanging on still.

2021-06-13

Systemic reaction (other): Since last night I've had brief waves of feeling hot/feverish (never had this in my life). Also a strange sore swollen vein on my left wrist. If it gets worse, I'll go to the doctor. Otherwise, feeling much better.

Release 9 — day 7, dose 1

2021-06-14

Systemic reaction (other): Just a little bit of dizziness Splash lightheadedness. Otherwise much better.

Release 9 — day 21, single dose

2021-06-28

Symptoms: A few days ago I woke up to excruciating cramps/spasm in my right calf. It was spasming all through my foot as well. It lasted a long time. It hurt a lot the next couple of days but I never saw anything visually on the surface of the skin. Still hur cut off by CDC

Release 9 — day 35, single dose

2021-07-12

Symptoms: Only that the period I got after the vaccine came four days early, which is very unusual for me and now my most recent one came two days early.

Release 11 — days 1–6 daily, dose 2

2022-04-22

Systemic reaction (other): Just feels icy throughout the core of my body

2022-04-23

Systemic reaction (other): Neck pain

Release 11 — day 14, dose 2

2022-05-06

Symptoms: I have still had that really ice cold chills all inside my bones and that really cold feeling in my face where it seems like I'm not getting enough blood there, similar to when I got the vaccine last time. I think it's slowly getting better.

Release 11 — day 28, dose 2

2022-05-19

Symptoms: I forgot to mention in past check-ins that my periods have been off since I got that vaccine.

Release 11 — day 35, dose 2

2022-05-26

Symptoms: My period came early and lated 10 days which has never happened to me before. I also had cramps every day of it which I've never had before. It made it hard to work and just get through the day.

Release 11 — day 42, dose 2

2022-06-05

Symptoms: I kept getting more and more tired and my doctor did blood tests and my ferritin is very low. My entire life, I have always had high iron and have never had any issues with anemia.

Release 12 — 3 months, dose 2

2022-07-21

Symptoms: I got a bad virus with a severe throat and cough and fevers for a couple of weeks. I did 6 days of Home tests and all of them were negative for covid.

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	Impaired driving ability	✓	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dysmenorrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling cold	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Pharyngeal disorder	·	·	✓
SD	Polymenorrhoea	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Serum ferritin decreased	·	·	✓
SD	Viral infection	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysstasia	✓	✓	✓
SRO	Eating disorder	✓	✓	✓
SRO	Feeding disorder	✓	·	✓
SRO	Feeling cold	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Loss of consciousness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Pallor	✓	✓	✓
SRO	Posture abnormal	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Unevaluable event	○	✓	○
SRO	Vascular pain	✓	✓	✓
SRO	Vomiting	✓	·	✓

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