DPA-13780-92194

3 vaccinations 8 coded responses 26 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 717 / AR
Registered: 2022-04-01

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

Registered dependents

RU5-16954-41055 Child or adolescent in my care · Female · 2022-04-01

Timeline

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

2021-04-01
Dose 1 — Janssen/Johnson & Johnson
2022-03-31
Dose 2 — Pfizer-BioNTech
2022-04-01
Registered in v-safe
2022-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2022-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2022-04-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-04-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-05-05
Survey response — day 35, dose 2
MedDRA: Cough, Dyspnoea, Headache — Feeling: Fair

Free text: Headache, cough, trouble breathing

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-07-02
Survey response — 3 months, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Short of breath

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Dose 3 — Pfizer-BioNTech
Co-administered: Tetanus
2022-09-20
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Diarrhea · Be unable to work or attend school

Adult check-in
2022-09-23
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Just the arm where I had the vaccination

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Survey response — days 1–6 daily, dose 3
MedDRA: Discharge, Oropharyngeal pain, Pre-existing disease — Feeling: Fair

Free text: Throat hurts, have drainage/allergies

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-26
Survey response — day 7, dose 3
MedDRA: Dyspnoea — Feeling: Good · Fatigue or tiredness

Free text: Shortness of breath; used inhaler

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — day 14, dose 3
Feeling: Good

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

Adult check-in
2022-10-17
Survey response — day 28, dose 3
MedDRA: Lethargy, Sinusitis, Sneezing — Feeling: Poor · Be unable to work or attend school

Free text: Lethargy, sneezing, sinusitis

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Survey response — day 35, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had Covid

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-12-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-03-20
Survey response — 6 months, dose 3
MedDRA: Office visit, Respiratory disorder — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-20
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-22
Call 1 — Could Not Reach Participant
2023-03-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Janssen/Johnson & Johnson	No
2	2022-03-31	Pfizer-BioNTech	No
3	2022-09-19	Pfizer-BioNTech	Tetanus

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 11 — day 35, dose 2

2022-05-05

Symptoms: Headache, cough, trouble breathing

Release 12 — 3 months, dose 2

2022-07-02

Symptoms: Short of breath

Release 12 — days 1–6 daily, dose 3

2022-09-23

Systemic reaction (other): Just the arm where I had the vaccination

2022-09-24

Systemic reaction (other): Throat hurts, have drainage/allergies

Release 12 — day 7, dose 3

2022-09-26

Systemic reaction (other): Shortness of breath; used inhaler

Release 12 — day 28, dose 3

2022-10-17

Symptoms: Lethargy, sneezing, sinusitis

Release 12 — day 35, dose 3

2022-10-24

Symptoms: Had Covid

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	Office visit	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	·	·	✓
SD	Lethargy	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	·	·	✓
SRO	Discharge	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Unevaluable event	·	·	✓

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