E9P-16774-20160

3 vaccinations 15 coded responses 34 check-ins 15 free-text entries 5 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 061 / CT
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Janssen/Johnson & Johnson
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Skin pain (hurts to touch) not at vaccine site but in very small but random places mostly on the vaccine arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling of body temperature change, Injection site erythema, Pain of skin, Tenderness — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Area of injection has a red circle around it, thumb wrist and forearm are extremely painful to touch feels hot/cold same time on skin and very painful skin no visible signs of rash just pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Pain in extremity, Pain of skin, Pyrexia — Feeling: Fair · Site: Pain, Redness · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Parts of my skin not at injection site still feel painful and feverish. Today was my fingers and one ear. It comes and goes and is really strange

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — day 14, dose 1
MedDRA: Autonomic nervous system imbalance, Condition aggravated, Feeling of body temperature change, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have been in a pretty significant flare for my dysautonomia (POTS) since getting the vaccine. Another issue continuing is my hands and feet switch off into this hot and cold feeling at the same time like a sunburn. Thats new POTS wise if its

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Call successful
Participant prefers to complete VAERS report online
2021-03-27
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-04-27
Call 2 — Left Voicemail
2021-06-07
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-04
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-17
Dose 2 — Moderna
2021-11-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dry throat, Dysphonia — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to work or attend school

Free text: Hoarse voice. Very dry throat.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphonia — Feeling: Good · Site: Pain, Redness

Free text: Horse voice.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphonia — Feeling: Good · Site: Pain, Redness

Free text: Still horse voice.

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphonia — Feeling: Good · Site: Redness

Free text: Still hoarse voice since day after vaccine. Super hard to talk no other symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphonia, Oropharyngeal pain — Feeling: Good · Site: Redness

Free text: Still painful hoarse voice since day after vaccine. Not getting better. No other symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphonia — Feeling: Good · Site: Redness, Swelling · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Very hoarse voice since day after vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-24
Survey response — day 7, dose 2
MedDRA: Dysphonia — Feeling: Good · Site: Swelling

Free text: Hoarse voice still

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Call 2 — Left Voicemail
2021-12-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-09-28
Dose 3 — Moderna
Co-administered: Flu
2022-10-06
Survey response — day 7, dose 3
MedDRA: Eye swelling — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: Severe eye swelling after injection 10/28-30

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — day 14, dose 3
MedDRA: COVID-19, Streptococcal infection — Feeling: Poor · Be unable to work or attend school

Free text: Diagnosed with Covid and strep

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-10-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-11-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-12-30
Survey response — 3 months, dose 3
MedDRA: Bronchitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 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
2023-01-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Janssen/Johnson & Johnson
2	2021-11-17	Moderna	No
3	2022-09-28	Moderna	Flu

Call center

5 call center cases

1 successful · 4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Eye pain

2021-03-09

Systemic reaction (other): Skin pain (hurts to touch) not at vaccine site but in very small but random places mostly on the vaccine arm.

2021-03-10

Systemic reaction (other): Area of injection has a red circle around it, thumb wrist and forearm are extremely painful to touch feels hot/cold same time on skin and very painful skin no visible signs of rash just pain.

2021-03-11

Systemic reaction (other): Parts of my skin not at injection site still feel painful and feverish. Today was my fingers and one ear. It comes and goes and is really strange

Release 6 — day 14, dose 1

2021-03-20

Symptoms: I have been in a pretty significant flare for my dysautonomia (POTS) since getting the vaccine. Another issue continuing is my hands and feet switch off into this hot and cold feeling at the same time like a sunburn. Thats new POTS wise if its

Release 10 — days 1–6 daily, dose 2

2021-11-18

Systemic reaction (other): Hoarse voice. Very dry throat.

2021-11-19

Systemic reaction (other): Horse voice.

2021-11-20

Systemic reaction (other): Still horse voice.

2021-11-21

Systemic reaction (other): Still hoarse voice since day after vaccine. Super hard to talk no other symptoms

2021-11-22

Systemic reaction (other): Still painful hoarse voice since day after vaccine. Not getting better. No other symptoms.

2021-11-23

Systemic reaction (other): Very hoarse voice since day after vaccine.

Release 10 — day 7, dose 2

2021-11-24

Systemic reaction (other): Hoarse voice still

Release 12 — day 7, dose 3

2022-10-06

Systemic reaction (other): Severe eye swelling after injection 10/28-30

Release 12 — day 14, dose 3

2022-10-12

Symptoms: Diagnosed with Covid and strep

Release 12 — 3 months, dose 3

2022-12-30

Symptoms: Bronchitis

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	Autonomic nervous system imbalance	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Feeling of body temperature change	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Streptococcal infection	·	·	✓
SRO	Dry throat	·	·	✓
SRO	Dysphonia	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Eye swelling	·	·	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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