XR2-25336-29566

2 vaccinations 7 coded responses 26 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 945 / CA
Registered: 2021-07-08

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

2021-07-04
Dose 1 — Janssen/Johnson & Johnson
2021-07-08
Registered in v-safe
2021-07-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-10
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Congestion, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-07-18
Survey response — day 14, dose 1
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore throat, congestion, cough · Healthcare visit (other): Drive through covid test

MedDRA releases: 2024-11 · check-in free text available
2021-07-18
Report sent to call center — day 14, dose 1
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-25
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-07-26
Call 2 — Left Voicemail
2021-08-01
Health check-in — day 28, single dose
Feeling: Good

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

Adult check-in
2021-08-15
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-10-04
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2022-01-02
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-01-08
Dose 2 — Janssen/Johnson & Johnson
2022-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2022-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2022-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2022-01-22
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Nausea, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion, headache, nausea, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — day 21, dose 2
MedDRA: Headache, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache, congestion sinus pressure

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Survey response — day 28, dose 2
MedDRA: Headache, Oropharyngeal pain — Feeling: Good

Free text: Sore throat, headache

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-02-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-04-09
Survey response — 3 months, dose 2
MedDRA: COVID-19, Cough, Fatigue — 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, Outpatient clinic or urgent care clinic visit

Free text: Covid, cough, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 3 months, dose 2
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-11
Call 2 — Left Voicemail
2022-07-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2023-01-08
Survey response — 12 months, dose 2
MedDRA: Respiratory tract infection — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-08
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-04	Janssen/Johnson & Johnson	No
2	2022-01-08	Janssen/Johnson & Johnson	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-18	Unsuccessful
2022-04-09	Unsuccessful
2023-01-08	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-10

Systemic reaction (other): Congestion, sore throat

Release 9 — day 14, dose 1

2021-07-18

Symptoms: Sore throat, congestion, cough

Healthcare visit (other): Drive through covid test

Release 11 — day 14, dose 2

2022-01-22

Symptoms: Congestion, headache, nausea, fatigue

Release 11 — day 21, dose 2

2022-01-29

Symptoms: Headache, congestion sinus pressure

Release 11 — day 28, dose 2

2022-02-05

Symptoms: Sore throat, headache

Release 11 — 3 months, dose 2

2022-04-09

Symptoms: Covid, cough, fatigue

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	SARS-CoV-2 test	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Respiratory tract infection	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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