L9E-14691-70255

1 vaccination 6 coded responses 7 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 956 / CA
Registered: 2021-09-29

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

2021-09-26
Dose 1 — Janssen/Johnson & Johnson
2021-09-29
Registered in v-safe
2021-09-30
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Cough, Joint swelling, Musculoskeletal chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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

Free text: Cough, severe lower back ribcage pain, swollen ankles.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — days 1–6 daily, dose 1
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 · 1 call case(s)
2021-10-01
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Musculoskeletal chest pain — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, severe ribcage pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — day 7, dose 1
MedDRA: Musculoskeletal chest pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Back ribs cage hurting

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-10-17
Survey response — day 21, single dose
MedDRA: Asthenia, Cough, Lymph node pain, Lymphadenopathy, Pyrexia, Secretion discharge, Unevaluable event — Feeling: Poor · 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

Free text: Symptoms: Increase in cough and mucus section with new onset of fever for at least 5 days, lymph nodes swollen and painful with really horrible weakness. · Healthcare visit (other): Chest x-ray ordered

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Report sent to call center — day 21, single dose
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 · 1 call case(s)
2021-10-19
Call 2 — Could Not Reach Participant
2021-10-22
Call 3 — Could Not Reach Participant
2021-11-09
Survey response — day 42, single dose
MedDRA: Arthralgia, Hypoaesthesia, Night sweats, Paraesthesia, Spinal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Joints pain, spinal pain, numbness and tingling radiating to my hands, night sweats.

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Survey response — 12 months, dose 1
MedDRA: Asthenia, Gastrointestinal haemorrhage, Headache — Feeling: Poor · 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: Severe headaches, generalized weakness, gastrointestinal bleeding

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Report sent to call center — 12 months, dose 1
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)
2022-10-03
Call 1 — Left Voicemail
2022-10-03
Call 1 — Left Voicemail
2022-10-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-26	Janssen/Johnson & Johnson	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-30

Systemic reaction (other): Cough, severe lower back ribcage pain, swollen ankles.

2021-10-01

Systemic reaction (other): Cough, severe ribcage pain

Release 9 — day 7, dose 1

2021-10-03

Systemic reaction (other): Back ribs cage hurting

Release 10 — day 21, single dose

2021-10-17

Symptoms: Increase in cough and mucus section with new onset of fever for at least 5 days, lymph nodes swollen and painful with really horrible weakness.

Healthcare visit (other): Chest x-ray ordered

Release 10 — day 42, single dose

2021-11-09

Symptoms: Joints pain, spinal pain, numbness and tingling radiating to my hands, night sweats.

Release 12 — 12 months, dose 1

2022-09-30

Symptoms: Severe headaches, generalized weakness, gastrointestinal bleeding

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	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Cough	·	·	✓
SD	Gastrointestinal haemorrhage	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Night sweats	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pyrexia	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Spinal pain	·	·	✓
SRO	Back pain	·	·	✓
SRO	Cough	·	·	✓
SRO	Joint swelling	·	·	✓
SRO	Musculoskeletal chest pain	·	·	✓

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