J2J-42871-17067

4 vaccinations 6 coded responses 30 check-ins 5 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 612 / IL
Registered: 2020-12-24

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

2020-12-24
Registered in v-safe
2020-12-24
Dose 1 — Moderna
2020-12-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Tested positive for COVID 12/26

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19 — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: COVID positive on 12/26

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia, Anosmia, COVID-19, Decreased appetite, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: COVID + 12/26; loss of appetite, loss of taste/smell, congestion related to COVID illness and not vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: COVID + 12/26.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Survey response — day 7, dose 1
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Covid + on 12/26

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Dose 2 — Moderna
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-10
Dose 3 — Moderna
2022-01-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-09
Dose 4 — Moderna
2022-09-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-10
Survey response — 6 months, dose 4
MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-10
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna
2	2021-01-21	Moderna
3	2021-11-10	Moderna	No
4	2022-09-09	Moderna	No

Call center

6 call center cases

1 unsuccessful · 5 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): Tested positive for COVID 12/26

2020-12-28

Systemic reaction (other): COVID positive on 12/26

2020-12-29

Systemic reaction (other): COVID + 12/26; loss of appetite, loss of taste/smell, congestion related to COVID illness and not vaccine

2020-12-30

Systemic reaction (other): COVID + 12/26.

Release 1 — day 7, dose 1

2020-12-31

Systemic reaction (other): Covid + on 12/26

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	Pregnancy	·	·	✓
SRO	Ageusia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Balance disorder	○	○	○
SRO	COVID-19	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓

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