RLN-86528-31916

3 vaccinations 2 coded responses 38 check-ins 1 free-text entry 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 770 / TX
Registered: 2021-04-09

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

2021-04-07
Dose 1 — Janssen/Johnson & Johnson
2021-04-09
Registered in v-safe
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Redness, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Poor · Site: Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 28, single dose
MedDRA: Abdominal pain upper, Headache, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: The past 3 days have been very difficult, stomachache , headaches , overall just feeling sickly . I am hoping it has nothing to do with the shot , but will see a doctor tomorrow if its not better by then .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, single dose
Feeling: Good

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

Adult check-in
2021-10-08
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-01
Dose 2 — Moderna
2021-11-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-08
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-11-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-05-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-10-26
Dose 3 — Moderna
2022-11-01
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Hospitalization

Adult check-in
2022-11-01
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-11-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-11-02
Call 2 — Left Voicemail
2022-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-25
Survey response — 3 months, dose 3
MedDRA: Influenza virus test negative, Malaise, SARS-CoV-2 test negative — 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

MedDRA releases: 2024-11
2023-01-25
Report sent to call center — 3 months, dose 3
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)
2023-01-26
Call 1 — Left Voicemail
2023-01-26
Call 1 — Left Voicemail
2023-04-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Janssen/Johnson & Johnson
2	2021-11-01	Moderna	No
3	2022-10-26	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — day 28, single dose

2021-05-07

Symptoms: The past 3 days have been very difficult, stomachache , headaches , overall just feeling sickly . I am hoping it has nothing to do with the shot , but will see a doctor tomorrow if its not better by then .

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	Abdominal pain upper	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza virus test negative	·	·	✓
SD	Malaise	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓

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