ECR-62593-46090

3 vaccinations 7 coded responses 44 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 958 / CA
Registered: 2021-03-19

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

Registered dependents

39M-62880-53936 Child or adolescent in my care · Male · 2022-06-30

Timeline

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Janssen/Johnson & Johnson
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-18
Survey response — 3 months, dose 1
MedDRA: Neuralgia — Feeling: Good

Free text: Leg nerve pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-17
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-28
Dose 2 — Moderna
2021-10-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-11-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-02
Survey response — day 35, dose 2
MedDRA: Nasal congestion — Feeling: Good

Free text: Stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-27
Survey response — 3 months, dose 2
MedDRA: Chills, Cough, Fatigue, Pain, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, fever, runny nose, fatigue, chills, body aches

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — 6 months, dose 2
MedDRA: COVID-19, Chest pain, Dizziness, Dyspnoea, Fatigue, Post-acute COVID-19 syndrome, SARS-CoV-2 test positive — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: COVID infection - tested positive 2/16/22. Post COVID syndrome. Shortness of breath, extreme fatigue, dizziness, chest pain.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-03
Dose 3 — Moderna
2022-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-10-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-10-17
Survey response — day 14, dose 3
MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-18
Call 1 — Left Voicemail
2022-10-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-10-31
Survey response — day 28, dose 3
MedDRA: Fatigue, Nausea, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Nausea, congestion, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-02
Survey response — 3 months, dose 3
MedDRA: Influenza — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-02
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Janssen/Johnson & Johnson
2	2021-10-28	Moderna	No
3	2022-10-03	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 9 — 3 months, dose 1

2021-06-18

Symptoms: Leg nerve pain

Release 10 — day 35, dose 2

2021-12-02

Symptoms: Stuffy nose

Release 11 — 3 months, dose 2

2022-01-27

Symptoms: Cough, fever, runny nose, fatigue, chills, body aches

Release 11 — 6 months, dose 2

2022-04-28

Symptoms: COVID infection - tested positive 2/16/22. Post COVID syndrome. Shortness of breath, extreme fatigue, dizziness, chest pain.

Release 12 — day 14, dose 3

2022-10-17

Symptoms: Sinus infection

Release 12 — day 28, dose 3

2022-10-31

Symptoms: Nausea, congestion, fatigue

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	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Influenza	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Pain	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinusitis	·	·	✓

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