MXB-16645-87525

1 vaccination 7 coded responses 14 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 377 / TN
Registered: 2021-03-20

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

2021-03-19
Dose 1 — Janssen/Johnson & Johnson
2021-03-20
Registered in v-safe
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
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 work

Adult check-in
2021-03-22
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
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

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

Adult check-in
2021-04-02
Survey response — day 14, dose 1
MedDRA: Anxiety, Inflammation — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Anxiety and inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-10
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-18
Survey response — day 28, single dose
MedDRA: Chest discomfort, Respiratory tract congestion — Feeling: Fair

Free text: Congestion and chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 35, single dose
MedDRA: Chest pain, Dizziness, Feeling abnormal, Headache, Nausea, Pyrexia, Rash, Respiratory tract congestion — Feeling: Poor · Be unable to work, 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: Chest burning, headache, dizziness, nausea, foggy brain, congestion, rash, fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 35, single dose
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)
2021-04-30
Survey response — day 42, single dose
MedDRA: Heart rate increased, Pneumonitis — Feeling: Poor · Be unable to work, 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: Lung inflammation and heart rate high

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 42, single dose
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)
2021-06-18
Survey response — 3 months, dose 1
MedDRA: Pain, Tachycardia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain throughout body & tachycardia thats not going away · Healthcare visit (other): Referral to specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-17
Survey response — 6 months, dose 1
MedDRA: Dyspnoea, Fatigue, Hypoaesthesia, Laboratory test abnormal, Muscular weakness — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Possible follicular cancer - suspicious biopsy, major fatigue, shortness of breath, both legs going numb and giving out.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Janssen/Johnson & Johnson

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Fever

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Anxiety and inflammation

Release 7 — day 28, single dose

2021-04-18

Symptoms: Congestion and chest tightness

Release 7 — day 35, single dose

2021-04-23

Symptoms: Chest burning, headache, dizziness, nausea, foggy brain, congestion, rash, fever

Release 8 — day 42, single dose

2021-04-30

Symptoms: Lung inflammation and heart rate high

Release 9 — 3 months, dose 1

2021-06-18

Symptoms: Pain throughout body & tachycardia thats not going away

Healthcare visit (other): Referral to specialist

Release 9 — 6 months, dose 1

2021-09-17

Symptoms: Possible follicular cancer - suspicious biopsy, major fatigue, shortness of breath, both legs going numb and giving out.

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	Anxiety	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Laboratory test abnormal	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pneumonitis	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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