SS2-10761-95197

3 vaccinations 11 coded responses 37 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 222 / VA
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Janssen/Johnson & Johnson
2021-04-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Dizziness

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

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Feeling abnormal — Feeling: Fair · Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 7, dose 1
MedDRA: Muscle spasms — Feeling: Good

Free text: Leg cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
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
2021-05-13
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-05-24
Call 1 — Left Voicemail
2021-05-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-08
Survey response — 3 months, dose 1
MedDRA: Heavy menstrual bleeding — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heavy menstrual bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-25
Dose 2 — Moderna
2021-11-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 14, dose 2
Feeling: Good

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

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

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

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

Adult check-in
2022-01-24
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-04-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-06-22
Dose 3 — Moderna
2022-06-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2022-06-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-06-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-07-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-13
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-07-20
Survey response — day 28, dose 3
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

Free text: COVID 19 infection

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Report sent to call center — day 28, dose 3
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)
2022-07-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-27
Survey response — day 35, dose 3
MedDRA: Malaise — 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 · Telehealth, virtual health, or email health consultation

Free text: Continued COVID symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Report sent to call center — day 35, dose 3
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)
2022-07-28
Call 1 — Left Voicemail
2022-08-03
Survey response — day 42, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: COVID 19 ongoing symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Survey response — 3 months, dose 3
MedDRA: Delivery, Pre-eclampsia — 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 · Hospitalization

Free text: Childbirth and preeclampsia

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-09-22
Call 2 — Left Voicemail
2022-09-22
Call 1 — Left Voicemail
2022-12-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Janssen/Johnson & Johnson
2	2021-10-25	Moderna	No
3	2022-06-22	Moderna	No

Call center

4 call center cases

2 successful · 2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Dizziness

2021-04-11

Systemic reaction (other): Brain fog

2021-04-12

Systemic reaction (other): Brain fog

2021-04-13

Systemic reaction (other): Brain fog

2021-04-14

Systemic reaction (other): Brain fog

Release 7 — day 7, dose 1

2021-04-15

Systemic reaction (other): Leg cramps

Release 9 — 3 months, dose 1

2021-07-08

Symptoms: Heavy menstrual bleeding

Release 12 — day 28, dose 3

2022-07-20

Symptoms: COVID 19 infection

Release 12 — day 35, dose 3

2022-07-27

Symptoms: Continued COVID symptoms

Release 12 — day 42, dose 3

2022-08-03

Symptoms: COVID 19 ongoing symptoms

Release 12 — 3 months, dose 3

2022-09-21

Symptoms: Childbirth and preeclampsia

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	COVID-19	·	·	✓
SD	Delivery	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Malaise	·	·	✓
SD	Pre-eclampsia	·	·	✓
SRO	Brain fog	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓

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