BSQ-86828-70397

3 vaccinations 7 coded responses 31 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 029 / RI
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Janssen/Johnson & Johnson
2021-04-08
Survey response — day 0, dose 1
MedDRA: Dizziness, Feeling abnormal, Tinnitus — Feeling: Good · Fatigue or tiredness

Free text: Lightheadedness, tennitis, feeling foggy

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-29
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-05-13
Survey response — day 35, single dose
MedDRA: Allergic respiratory symptom, Brain fog, Fatigue, Headache, Hypersensitivity, Nasal congestion, Rhinorrhoea — Feeling: Fair

Free text: Allergy symptoms (headache, runny/stuffy nose, fatigue, fogginess)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 42, single dose
MedDRA: Cough, Hypersensitivity, Respiratory tract congestion — Feeling: Fair

Free text: Allergies, cough/congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-10-28
Dose 2 — Moderna
2021-10-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Leg numbness

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — day 7, dose 2
MedDRA: Vision blurred — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Hazy

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-12-04
Survey response — day 35, dose 2
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-10
Dose 3 — Moderna
Co-administered: Tetanus
2022-05-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2022-05-12
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Swollen lymph node in armpit of injected arm

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Nausea

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-07
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-06-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-11-10
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Janssen/Johnson & Johnson
2	2021-10-28	Moderna	No
3	2022-05-10	Moderna	Tetanus

Free text

Release 7 — day 0, dose 1

2021-04-08

Systemic reaction (other): Lightheadedness, tennitis, feeling foggy

Release 8 — day 35, single dose

2021-05-13

Symptoms: Allergy symptoms (headache, runny/stuffy nose, fatigue, fogginess)

Release 8 — day 42, single dose

2021-05-20

Symptoms: Allergies, cough/congestion

Release 10 — days 1–6 daily, dose 2

2021-11-02

Systemic reaction (other): Leg numbness

Release 10 — day 7, dose 2

2021-11-04

Systemic reaction (other): Hazy

Release 10 — day 35, dose 2

2021-12-04

Symptoms: Sore throat, fatigue

Release 11 — days 1–6 daily, dose 3

2022-05-12

Systemic reaction (other): Swollen lymph node in armpit of injected arm

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	Allergic respiratory symptom	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vision blurred	·	·	✓

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