6U6-11347-09625

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 787 / TX
Registered: 2021-03-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

THP-20738-08788 Child or adolescent in my care · Female · 2022-05-20

3AU-22500-04900 Child or adolescent in my care · Male · 2022-05-20

Timeline

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

2021-03-12
Dose 1 — Janssen/Johnson & Johnson
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lightheaded when standing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Hyperventilation — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lightheaded, heavier breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 42, single dose
MedDRA: Anxiety, Dyspnoea — Feeling: Good

Free text: Shortness of breath when exercising. Ive been chalking this up to anxiety, which it very well may be.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — 3 months, dose 1
Feeling: Poor

Adult check-in
2021-09-10
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-12-20
Dose 2 — Pfizer-BioNTech
2021-12-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-12-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2022-01-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-01-10
Survey response — day 21, dose 2
MedDRA: Cough, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, cough, headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion, fatigue, sore throat, headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — day 35, dose 2
MedDRA: Dyspnoea exertional, Paraesthesia — Feeling: Good

Free text: Tingling in left arm, short of breath when exercising

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-21
Survey response — 3 months, dose 2
MedDRA: Extrasystoles — Feeling: Good

Free text: Heart skips

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Survey response — 6 months, dose 2
MedDRA: Influenza virus test positive, Malaise, Office visit, SARS-CoV-2 test negative, Viral infection — 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

Free text: Symptoms: I had a virus - tested neg for Covid, flu, and strep - with almost all the Covid symptoms. It was worse than Covid. · Healthcare visit (other): Normal doctor office visit

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
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

1 call case(s)
2022-06-21
Call 1 — Left Voicemail
2022-12-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Janssen/Johnson & Johnson
2	2021-12-20	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Lightheaded when standing

2021-03-15

Systemic reaction (other): Lightheaded, heavier breathing

Release 7 — day 42, single dose

2021-04-23

Symptoms: Shortness of breath when exercising. Ive been chalking this up to anxiety, which it very well may be.

Release 10 — day 21, dose 2

2022-01-10

Symptoms: Sore throat, cough, headache

Release 10 — day 28, dose 2

2022-01-17

Symptoms: Congestion, fatigue, sore throat, headache

Release 11 — day 35, dose 2

2022-01-25

Symptoms: Tingling in left arm, short of breath when exercising

Release 11 — 3 months, dose 2

2022-03-21

Symptoms: Heart skips

Release 12 — 6 months, dose 2

2022-06-20

Symptoms: I had a virus - tested neg for Covid, flu, and strep - with almost all the Covid symptoms. It was worse than Covid.

Healthcare visit (other): Normal doctor office visit

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	·	·	✓
SD	Anxiety	✓	✓	✓
SD	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	·	·	✓
SD	Extrasystoles	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Influenza virus test positive	·	·	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Viral infection	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hyperventilation	✓	✓	✓

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