6V4-26735-55778

3 vaccinations 9 coded responses 30 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 543 / WI
Registered: 2021-03-20

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Janssen/Johnson & Johnson
2021-03-20
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness, Swelling

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Redness, Swelling, Itching

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Redness, Swelling, Itching

Free text: no

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Redness, Swelling, Itching

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Redness, Swelling, Itching

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 14, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Good

Free text: I should have stated this earlier in the process but starting a day or two after I got the injection, my lungs have been tight, unable to expel much. I am a smoker and I do have asthma but rarely have to use my inhaler. I've been using my inhaler.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-18
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-23
Dose 2 — Moderna
2021-10-31
Survey response — day 7, dose 2
MedDRA: Cough, Lung disorder, Reaction to previous exposure to any vaccine, Respiratory tract congestion — Feeling: Good

Free text: I experienced congestion and coughing within 3 days of getting the booster. But not as serious as the lung problems I had after my J&J vaccination in March.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-22
Survey response — 3 months, dose 2
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Fair

Free text: Congestion, sneezing, cough, sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Dose 3 — Moderna
2022-04-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-04-06
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Janssen/Johnson & Johnson
2	2021-10-23	Moderna	No
3	2022-04-06	Moderna	No

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): No

2021-03-23

Systemic reaction (other): No

2021-03-25

Systemic reaction (other): no

2021-03-26

Systemic reaction (other): No

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): No

Release 6 — day 14, dose 1

2021-04-03

Symptoms: I should have stated this earlier in the process but starting a day or two after I got the injection, my lungs have been tight, unable to expel much. I am a smoker and I do have asthma but rarely have to use my inhaler. I've been using my inhaler. cut off by CDC

Release 10 — day 7, dose 2

2021-10-31

Systemic reaction (other): I experienced congestion and coughing within 3 days of getting the booster. But not as serious as the lung problems I had after my J&J vaccination in March.

Release 11 — 3 months, dose 2

2022-01-22

Symptoms: Congestion, sneezing, cough, sore throat.

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	Asthma	✓	✓	✓
SD	Cough	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sneezing	·	·	✓
SRO	Cough	·	·	✓
SRO	Lung disorder	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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