DK6-16351-67817

3 vaccinations 12 coded responses 36 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 283 / NC
Registered: 2021-03-26

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-25
Dose 1 — Janssen/Johnson & Johnson
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Fever · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-05-06
Survey response — day 42, single dose
MedDRA: Asthma, Muscle spasms — Feeling: Fair

Free text: Muscle cramps, asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-11-03
Dose 2 — Moderna
2021-11-03
Survey response — day 0, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain

Free text: Tingly feeling

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · 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
2021-11-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-19
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: Fair

Adult check-in
2021-12-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-12-15
Survey response — day 42, dose 2
MedDRA: Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Upper respiratory infection

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-21
Call X — Could Not Reach Participant
2022-02-02
Survey response — 3 months, dose 2
MedDRA: Chest pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest pains

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — 6 months, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shoulder pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-09
Call 3 — Left Voicemail
2022-05-09
Call 3 — Left Voicemail
2022-12-17
Dose 3 — Pfizer-BioNTech
2022-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Runny nose, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Sneezing, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-12-24
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2022-12-31
Survey response — day 14, dose 3
MedDRA: Atrial fibrillation, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had two recorded instances of atrial fibrillation. I have no prior heart disease or problems. · Healthcare visit (other): My doctor did not have appointments available and it is scheduled for a future date.

MedDRA releases: 2024-11 · check-in free text available
2022-12-31
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-03
Call 1 — Left Voicemail
2023-01-03
Call 1 — Left Voicemail
2023-01-03
Call 1 — Left Voicemail
2023-01-07
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2023-01-14
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2023-01-21
Survey response — day 35, dose 3
MedDRA: Dyspnoea — Feeling: Fair

MedDRA releases: 2024-11
2023-01-28
Survey response — day 42, dose 3
MedDRA: Chest discomfort, Dyspnoea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-28
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-30
Call 2 — Left Voicemail
2023-01-30
Call 2 — Left Voicemail
2023-01-30
Call 2 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-03-20
Survey response — 3 months, dose 3
MedDRA: Chest discomfort, Respiratory disorder — Feeling: Poor · Be unable to work or attend school

MedDRA releases: 2024-11
2023-06-17
Survey response — 6 months, dose 3
MedDRA: Atrial fibrillation, Emergency care, Palpitations — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Janssen/Johnson & Johnson
2	2021-11-03	Moderna	No
3	2022-12-17	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 8 — day 42, single dose

2021-05-06

Symptoms: Muscle cramps, asthma

Release 10 — day 0, dose 2

2021-11-03

Systemic reaction (other): Tingly feeling

Release 10 — day 42, dose 2

2021-12-15

Symptoms: Upper respiratory infection

Release 11 — 3 months, dose 2

2022-02-02

Symptoms: Chest pains

Release 11 — 6 months, dose 2

2022-05-06

Symptoms: Shoulder pain

Release 12 — days 1–6 daily, dose 3

2022-12-22

Systemic reaction (other): Runny nose, congestion

2022-12-23

Systemic reaction (other): Sneezing, runny nose

Release 12 — day 14, dose 3

2022-12-31

Symptoms: I have had two recorded instances of atrial fibrillation. I have no prior heart disease or problems.

Healthcare visit (other): My doctor did not have appointments available and it is scheduled for a future date.

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
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthma	✓	✓	✓
SD	Atrial fibrillation	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓

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