8D2-70070-80720

3 vaccinations 6 coded responses 29 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 209 / MD
Registered: 2021-04-12

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

Timeline

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

2021-04-12
Registered in v-safe
2021-04-12
Dose 1 — Janssen/Johnson & Johnson
2021-04-12
Survey response — day 0, dose 1
MedDRA: Disorientation, Feeling drunk — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Brief disorientation/felt drunk for 15 mins

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Insomnia — Feeling: Poor · Site: Itching · Fever · Chills, 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: Dizziness, inability to sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: General itchiness on torso/arms but no rash/hives

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

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-17
Survey response — day 35, single dose
MedDRA: Depression, Pre-existing disease — Feeling: Good · Be unable to work, 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: Depression- something that I have experienced in the past, but it has been steadily increasing over the past several weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 35, single dose
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)
2021-05-24
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-03
Call 1 — Left Voicemail
2021-07-12
Survey response — 3 months, dose 1
MedDRA: Abdominal pain upper, Diarrhoea, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: 72 hour stomach bug with low fever, cramping, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-13
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-06
Dose 2 — Moderna
2022-04-12
Survey response — 12 months, dose 1
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid 19

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Dose 3 — Pfizer-BioNTech
2022-09-19
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-10-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-12-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-03-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Janssen/Johnson & Johnson
2	2021-11-06	Moderna	No
3	2022-09-19	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-12

Systemic reaction (other): Brief disorientation/felt drunk for 15 mins

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): Dizziness, inability to sleep

2021-04-15

Systemic reaction (other): General itchiness on torso/arms but no rash/hives

Release 8 — day 35, single dose

2021-05-17

Symptoms: Depression- something that I have experienced in the past, but it has been steadily increasing over the past several weeks.

Release 9 — 3 months, dose 1

2021-07-12

Symptoms: 72 hour stomach bug with low fever, cramping, diarrhea

Release 11 — 12 months, dose 1

2022-04-12

Symptoms: Covid 19

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 pain upper	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Depression	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling drunk	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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