6V5-27471-15175

3 vaccinations 17 coded responses 28 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 190 / PA
Registered: 2021-04-27

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

2021-04-27
Registered in v-safe
2021-04-27
Dose 1 — Janssen/Johnson & Johnson
2021-04-27
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Bone pain, Toothache — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Bones and teeth ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in jaw, Toothache — Feeling: Good · Headache, Muscle or body aches

Free text: Teeth and jaw ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in jaw, Toothache — Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Jaw and teeth pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-05-04
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-11
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Arthralgia, Bone pain, Fatigue, Haematochezia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach aches and blood spots in stool on 2 occasions that I know of. Continue to have fatigue, joint pain, muscle pain, bone pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 21, single dose
MedDRA: Abdominal discomfort, Arthralgia, Headache, Pain in extremity, Pre-existing disease — Feeling: Good · 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: Worsening headache, joint pain, feet pain, abdominal distress

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 21, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-06-07
Call 1 — Left Voicemail
2021-06-08
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-07-27
Survey response — 3 months, dose 1
MedDRA: Diarrhoea, Fatigue, Oropharyngeal pain, Pain, Pyrexia, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Yesterday and today I have diarrhea. Yesterday vomiting. Low grade fever. Body aches and fatigue maybe a little sore throat.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Call 1 — Left Voicemail
2021-10-29
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-31
Dose 2 — Moderna
2022-10-31
Dose 3 — Pfizer-BioNTech
2022-10-31
Survey response — day 0, dose 3
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Stinging sensation at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Disturbance in attention — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Can't concentrate

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Bone pain — Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Bone pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Glossitis, Inflammation — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Inflammation of my entire body including face hands feet tongue

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-11-07
Survey response — day 7, dose 3
MedDRA: Bone pain — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Bone pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities, 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: Fever, sore throat, headache, congestion, GI distress

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · 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)
2022-11-15
Call successful
Participant prefers to complete VAERS report online
2022-11-15
Call successful
Participant prefers to complete VAERS report online
2022-11-15
Call successful
Participant prefers to complete VAERS report online
2022-11-21
Survey response — day 21, dose 3
MedDRA: Bone pain, Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bone pain, headaches, feverish

MedDRA releases: 2024-11 · check-in free text available
2022-11-28
Survey response — day 28, dose 3
MedDRA: Bone pain, Fatigue, Headache, Pain in extremity — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headaches Bone pain, foot pain, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-05
Survey response — day 35, dose 3
MedDRA: Abdominal discomfort, Arthralgia, Bone pain, Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Frequent GI distress, headaches, feeling feverish off and on, bone pain, joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-12-12
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2023-02-01
Survey response — 3 months, dose 3
MedDRA: Condition aggravated, Eye pain, Headache, Pre-existing disease — Feeling: Fair

MedDRA releases: 2024-11
2023-05-01
Survey response — 6 months, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-27	Janssen/Johnson & Johnson
2	2021-12-31	Moderna	No
3	2022-10-31	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-28

Systemic reaction (other): Bones and teeth ache

2021-05-01

Systemic reaction (other): Teeth and jaw ache

2021-05-02

Systemic reaction (other): Jaw and teeth pain

Release 8 — day 14, dose 1

2021-05-11

Symptoms: Stomach aches and blood spots in stool on 2 occasions that I know of. Continue to have fatigue, joint pain, muscle pain, bone pain

Release 8 — day 21, single dose

2021-05-18

Symptoms: Worsening headache, joint pain, feet pain, abdominal distress

Release 9 — 3 months, dose 1

2021-07-27

Symptoms: Yesterday and today I have diarrhea. Yesterday vomiting. Low grade fever. Body aches and fatigue maybe a little sore throat.

Release 12 — day 0, dose 3

2022-10-31

Systemic reaction (other): Stinging sensation at injection site

Release 12 — days 1–6 daily, dose 3

2022-11-01

Systemic reaction (other): Can't concentrate

2022-11-03

Systemic reaction (other): Bone pain

2022-11-04

Systemic reaction (other): Inflammation of my entire body including face hands feet tongue

Release 12 — day 7, dose 3

2022-11-07

Systemic reaction (other): Bone pain

Release 12 — day 14, dose 3

2022-11-14

Symptoms: Fever, sore throat, headache, congestion, GI distress

Release 12 — day 21, dose 3

2022-11-21

Symptoms: Bone pain, headaches, feverish

Release 12 — day 28, dose 3

2022-11-28

Symptoms: Headaches Bone pain, foot pain, fatigue

Release 12 — day 35, dose 3

2022-12-05

Symptoms: Frequent GI distress, headaches, feeling feverish off and on, bone pain, joint pain

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 discomfort	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Eye pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Haematochezia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Vomiting	✓	·	✓
SRO	Bone pain	✓	✓	✓
SRO	Disturbance in attention	·	·	✓
SRO	Glossitis	·	·	✓
SRO	Inflammation	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Toothache	✓	✓	✓

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