Q3N-20279-97382

1 vaccination 8 coded responses 15 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 410 / KY
Registered: 2021-04-05

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

2021-04-05
Registered in v-safe
2021-04-05
Dose 1 — Janssen/Johnson & Johnson
2021-04-05
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Lacrimation increased — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Watery eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dry eye, Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Sore throat, outer ears hurt, dry eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Seasonal allergy, Vertigo — Feeling: Good · Site: Pain · Nausea

Free text: Vertigo at night, but difficult to say if its that or seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Musculoskeletal stiffness, Self-medication, Tendonitis — Feeling: Good

Free text: Headache, fatigue. Is it seasonal allergies? Is it quitting coffee? Vaccine? Advil helps headache. Im also experiencing tendinitis in my non-vax arm, neck/shoulder stiffness (getting better). Its as tho my old injuries have returned gardenin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 21, single dose
MedDRA: Discharge, Oropharyngeal pain — Feeling: Good

Free text: Lots of drainage and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 28, single dose
MedDRA: Bronchitis, Headache, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: BronchitisHeadacheThey did an ekg, blood test to check for clotting issues due to vaccine, chest X-ray, negative Covid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 28, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-17
Survey response — day 42, single dose
MedDRA: Brain fog, Paranasal sinus discomfort — Feeling: Good

Free text: Sinus pressure is back, feeling a little foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Call 1 — Left Voicemail
2021-07-05
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-04
Survey response — 6 months, dose 1
MedDRA: COVID-19 — Feeling: Good · 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: Covid

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Report sent to call center — 6 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 · 1 call case(s)
2021-10-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Janssen/Johnson & Johnson

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Watery eyes

2021-04-07

Systemic reaction (other): Sore throat, outer ears hurt, dry eyes

2021-04-10

Systemic reaction (other): Vertigo at night, but difficult to say if its that or seasonal allergies

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Headache, fatigue. Is it seasonal allergies? Is it quitting coffee? Vaccine? Advil helps headache. Im also experiencing tendinitis in my non-vax arm, neck/shoulder stiffness (getting better). Its as tho my old injuries have returned gardenin

Release 8 — day 21, single dose

2021-04-26

Symptoms: Lots of drainage and sore throat

Release 8 — day 28, single dose

2021-05-03

Symptoms: BronchitisHeadacheThey did an ekg, blood test to check for clotting issues due to vaccine, chest X-ray, negative Covid test

Release 8 — day 42, single dose

2021-05-17

Symptoms: Sinus pressure is back, feeling a little foggy

Release 10 — 6 months, dose 1

2021-10-04

Symptoms: Covid

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	Brain fog	✓	✓	✓
SD	Bronchitis	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Discharge	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Tendonitis	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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