CB7-33442-12804

4 vaccinations 5 coded responses 40 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 200 / DC
Registered: 2021-03-13

Relationship: Self
Race: Black or African American
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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
2021-03-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

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

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Chills, Diarrhea

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

Adult check-in
2021-04-03
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-11
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-03
Dose 2 — Moderna
2021-11-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-11-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Nausea

Free text: Swollen breast lymphs

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-05-04
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school

Free text: Cold

MedDRA releases: 2024-11 · check-in free text available
2022-06-18
Dose 3 — Moderna
2022-09-13
Dose 4 — Pfizer-BioNTech
2022-09-13
Survey response — day 0, dose 4
MedDRA: Irritable bowel syndrome — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Bowel irritated

MedDRA releases: 2024-11 · check-in free text available
2022-09-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fever · Diarrhea

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-04
Survey response — day 21, dose 4
MedDRA: Nasopharyngitis — Feeling: Good

Free text: My toddler gave me a cold

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-13
Survey response — 3 months, dose 4
MedDRA: Abortion spontaneous, COVID-19, Conjunctivitis, Cough, Emergency care, Exposure to SARS-CoV-2, Pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: A miscarriage and I have COVID. The first time ever! Contracted at the ER for the miscarriage. Cough, congestion, 103.3 fever, COVID pinkeye, body aches.

MedDRA releases: 2024-11 · check-in free text available
2023-03-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Janssen/Johnson & Johnson
2	2021-11-03	Moderna	No
3	2022-06-18	Moderna	No
4	2022-09-13	Pfizer-BioNTech	No

Free text

Release 10 — days 1–6 daily, dose 2

2021-11-06

Systemic reaction (other): Swollen breast lymphs

Release 11 — 6 months, dose 2

2022-05-04

Symptoms: Cold

Release 12 — day 0, dose 4

2022-09-13

Systemic reaction (other): Bowel irritated

Release 12 — day 21, dose 4

2022-10-04

Symptoms: My toddler gave me a cold

Release 12 — 3 months, dose 4

2022-12-13

Symptoms: A miscarriage and I have COVID. The first time ever! Contracted at the ER for the miscarriage. Cough, congestion, 103.3 fever, COVID pinkeye, body aches.

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	Abortion spontaneous	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Emergency care	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Irritable bowel syndrome	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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