E87-22971-71904

2 vaccinations 10 coded responses 31 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 441 / OH
Registered: 2021-04-08

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

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
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Oropharyngeal pain, Pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: mild sore throat and shooting pain in left inner ear, not sure if related at all

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Neck pain, Pain — Feeling: Fair · Headache

Free text: soreness on left side of body (shot on left side), neck pain; random intermittent shooting pain left rear neck area; stuffy feeling left ear

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

Free text: mild inner ear pain, both ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-29
Survey response — day 21, single dose
MedDRA: Ear discomfort, Ear pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: inner ear pain and pressure, was diagnosed as sinusitis by my doctor, since it has been persistent amd went from a few days in my left ear to now in my right ear and then with broader symptoms on both sides of my face and head, concentrated on right

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 21, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-05-26
Call successful
Participant prefers to complete VAERS report online
2021-07-08
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-07
Survey response — 6 months, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Mild, recurring headaches for about the last 2 weeks, not sure of cause

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Dose 2 — Janssen/Johnson & Johnson
2021-12-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-12-17
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-12-24
Survey response — day 14, dose 2
MedDRA: Brain fog, Cough, Exposure to SARS-CoV-2, Fatigue, Myalgia, Oropharyngeal pain, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities

Free text: I'm pretty sure I got covid as a housemate had it. Waiting for results of PCR test. I had sore throat, mild cough, fatigue, brain fog, muscle aches for about 3 days I rested a lot and am mostly back to normal

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — day 21, dose 2
MedDRA: COVID-19, Fatigue, Nasopharyngitis, Oropharyngeal pain, Pain, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: i ended up with covid 19, confirmed via PCR test on December 21 it was pretty mild, only 2 days of really sore throat, body aches, and fatigue but i do still have mild, cold-like symptons

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2022-01-21
Survey response — day 42, dose 2
MedDRA: Pre-existing disease, Psoriasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Psoriasis flare

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-27
Call 1 — Left Voicemail
2022-03-11
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-06-10
Survey response — 6 months, dose 2
MedDRA: Eye discharge, Fatigue, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've had what is probably a cold? Sore throat, congestion, gooey eyes, fatigue. Seems to be lingering. Could possibly be an allergy, though I've never had any allergies before.

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Survey response — 12 months, dose 2
MedDRA: Influenza — Feeling: Fair · Be unable to do your normal daily activities

Free text: Flu

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Janssen/Johnson & Johnson
2	2021-12-10	Janssen/Johnson & Johnson	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): mild sore throat and shooting pain in left inner ear, not sure if related at all

2021-04-13

Systemic reaction (other): soreness on left side of body (shot on left side), neck pain; random intermittent shooting pain left rear neck area; stuffy feeling left ear

2021-04-14

Systemic reaction (other): mild inner ear pain, both ears

Release 8 — day 21, single dose

2021-04-29

Symptoms: inner ear pain and pressure, was diagnosed as sinusitis by my doctor, since it has been persistent amd went from a few days in my left ear to now in my right ear and then with broader symptoms on both sides of my face and head, concentrated on right cut off by CDC

Release 10 — 6 months, dose 1

2021-10-07

Symptoms: Mild, recurring headaches for about the last 2 weeks, not sure of cause

Release 10 — day 14, dose 2

2021-12-24

Symptoms: I'm pretty sure I got covid as a housemate had it. Waiting for results of PCR test. I had sore throat, mild cough, fatigue, brain fog, muscle aches for about 3 days I rested a lot and am mostly back to normal

Release 10 — day 21, dose 2

2021-12-31

Symptoms: i ended up with covid 19, confirmed via PCR test on December 21 it was pretty mild, only 2 days of really sore throat, body aches, and fatigue but i do still have mild, cold-like symptons

Release 10 — day 42, dose 2

2022-01-21

Symptoms: Psoriasis flare

Release 12 — 6 months, dose 2

2022-06-10

Symptoms: I've had what is probably a cold? Sore throat, congestion, gooey eyes, fatigue. Seems to be lingering. Could possibly be an allergy, though I've never had any allergies before.

Release 12 — 12 months, dose 2

2022-12-10

Symptoms: Flu

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	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Eye discharge	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Influenza	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Psoriasis	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓

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