U9H-16244-45602

3 vaccinations 6 coded responses 32 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 024 / MA
Registered: 2021-03-08

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Janssen/Johnson & Johnson
2021-03-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Injection site bruising — Feeling: Good · Site: Pain, Swelling

Free text: Quarter-sized bruise at injection site. Dizziness starting at 3:30 pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Bruise at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Still have a gnarly bruise at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — day 7, dose 1
MedDRA: Contusion — Feeling: Good

Free text: Still have terrible bruise. Starting to really look interesting now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-07
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-06
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-29
Dose 2 — Moderna
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-29
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Bad cold and mild fever

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Dose 3 — Moderna
Co-administered: Flu
2022-10-01
Survey response — day 21, dose 3
MedDRA: COVID-19, Nasopharyngitis — 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. (Feels like a Head cold)

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Report sent to call center — day 21, 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)
2022-10-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-12-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-03-11
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Janssen/Johnson & Johnson
2	2021-10-29	Moderna	No
3	2022-09-10	Moderna	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Quarter-sized bruise at injection site. Dizziness starting at 3:30 pm

2021-03-10

Systemic reaction (other): Bruise at injection site

2021-03-13

Systemic reaction (other): Still have a gnarly bruise at injection site

Release 5 — day 7, dose 1

2021-03-15

Systemic reaction (other): Still have terrible bruise. Starting to really look interesting now

Release 11 — 6 months, dose 2

2022-04-29

Symptoms: Bad cold and mild fever

Release 12 — day 21, dose 3

2022-10-01

Symptoms: Covid-19. (Feels like a Head cold)

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	Nasopharyngitis	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓

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