J53-32714-57798

2 vaccinations 8 coded responses 27 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 934 / CA
Registered: 2021-03-12

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Janssen/Johnson & Johnson
2021-03-12
Health check-in — day 0, dose 1
Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Malaise — Feeling: Fair · Site: Pain

Free text: Malaise, challenge focusing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Impaired work ability, Paraesthesia — Feeling: Good · Joint pains, Muscle or body aches

Free text: Numbness and tingling of left arm then to right. Challenge but not a deal breaker for work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: My left shoulder is still tendee at the injection site and hands and arms go numb periodically

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): May only be from aggravated injury · Healthcare visit (other): Chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
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)
2021-03-19
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-05-06
Call successful
Participant prefers to complete VAERS report online
2021-06-11
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-10
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-01-07
Dose 2 — Moderna
2022-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2022-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-14
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-14
Call 1 — Left Voicemail
2022-01-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-01-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-02-18
Survey response — day 42, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: My period is late again. 4th time since february for 2021 after 1st vaccine. I usually only miss 1 period per year.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-07-08
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Gastroenteritis viral, Nausea, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Stomach bug. Nausea, vomiting, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2023-01-07
Survey response — 12 months, dose 2
MedDRA: COVID-19, Productive cough, Sneezing, Upper-airway cough syndrome — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Janssen/Johnson & Johnson
2	2022-01-07	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Malaise, challenge focusing

2021-03-16

Systemic reaction (other): Numbness and tingling of left arm then to right. Challenge but not a deal breaker for work

2021-03-17

Systemic reaction (other): My left shoulder is still tendee at the injection site and hands and arms go numb periodically

2021-03-18

Systemic reaction (other): May only be from aggravated injury

Healthcare visit (other): Chiropractor

Release 10 — days 1–6 daily, dose 2

2022-01-13

Healthcare visit (other): Chiropractor

Release 11 — day 42, dose 2

2022-02-18

Symptoms: My period is late again. 4th time since february for 2021 after 1st vaccine. I usually only miss 1 period per year.

Release 12 — 6 months, dose 2

2022-07-08

Symptoms: Stomach bug. Nausea, vomiting, diarrhea

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	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Menstruation delayed	·	·	✓
SD	Nausea	·	·	✓
SD	Productive cough	·	·	✓
SD	Sneezing	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Vomiting	·	·	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Impaired work ability	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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