M46-27297-03415

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 198 / DE
Registered: 2021-04-11

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

Timeline

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

2021-04-10
Dose 1 — Janssen/Johnson & Johnson
2021-04-11
Registered in v-safe
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · 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
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Injected limb mobility decreased, Injection site bruising — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: bruised around injection site area. Limited movement of the arm of the injection site without sorenesss. Range of motion up to breast level.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-09
Survey response — 6 months, dose 1
MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I had a miscarriage.

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

Emergency room or emergency department visit · 1 call case(s)
2021-10-14
Call 1 — Left Voicemail
2021-10-25
Dose 2 — Moderna
Co-administered: Flu
2021-11-01
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-11-15
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-11-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-11-29
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-12-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-24
Survey response — 3 months, dose 2
MedDRA: Pyrexia, 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 · Outpatient clinic or urgent care clinic visit

Free text: I got tested positive for covid and has a fever for a few days.

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 3 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-25
Call successful
Participant prefers to complete VAERS report online
2022-01-25
Call successful
Participant prefers to complete VAERS report online
2022-04-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-10-25
Survey response — 12 months, dose 2
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: left eye infection in the sinus

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Janssen/Johnson & Johnson
2	2021-10-25	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-10-09	Successful 2022-01-25	Participant prefers to complete VAERS report online
2022-01-24	Successful 2022-01-25	Participant prefers to complete VAERS report online
2022-10-25	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): bruised around injection site area. Limited movement of the arm of the injection site without sorenesss. Range of motion up to breast level.

Release 10 — 6 months, dose 1

2021-10-09

Symptoms: I had a miscarriage.

Release 11 — 3 months, dose 2

2022-01-24

Symptoms: I got tested positive for covid and has a fever for a few days.

Release 12 — 12 months, dose 2

2022-10-25

Symptoms: left eye infection in the sinus

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	Abortion spontaneous	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓

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