XXV-25484-83050

4 vaccinations 5 coded responses 47 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 236 / VA
Registered: 2021-03-03

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Survey response — 0 day, dose 1
MedDRA: Cough, Dizziness, Dyspnoea, Throat tightness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Butterfly rash, Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Exercise tolerance decreased, Fatigue, Headache, Impaired driving ability — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Depression — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-12
Health check-in — 7 day, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — 21 day, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — 28 day, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — 35 day, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — 42 day, dose 1
Feeling: Good

Adult check-in
2021-06-04
Survey response — 3 month, dose 1
MedDRA: Illness, Influenza — Feeling: Fair · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-09-01
Health check-in — 6 month, dose 1
Feeling: Fair

Adult check-in
2021-09-10
Dose 2 — Janssen/Johnson & Johnson
2021-09-10
Health check-in — 0 day, dose 2
Feeling: Good · None

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-09-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-09-17
Health check-in — 7 day, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-09-26
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Janssen/Johnson & Johnson
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — 7 day, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — 21 day, dose 3
Feeling: Fair

Adult check-in
2021-12-12
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2022-02-13
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-05-09
Dose 4 — Janssen/Johnson & Johnson
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-16
Health check-in — 7 day, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Health check-in — 14 day, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2022-08-10
Health check-in — 3 month, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-09-10	Janssen/Johnson & Johnson	No
3	2021-11-12	Janssen/Johnson & Johnson	No
4	2022-05-09	Janssen/Johnson & Johnson	No

Free text

Release 4

Systemic reaction (other): Dizziness, Throat tightness and trouble breathing and coughing but it went away an hour after I got the shot

Release 5

Systemic reaction (other): I have lupus and I have been flaring since I got the shot. Butterfly rash the past few days because of the flare up.

Systemic reaction (other): I still unable to workout because of fatigue. I am able to go about my day but with many needed breaks in between tasks because of fatigue. I can drive now without the fatigue and headache preventing me to do so.

Systemic reaction (other): Feelings of depression since getting the shot

Release 8

Symptoms: Sick. Flu

Free-text releases are not linked to a specific 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	Illness	✓	✓	✓
SD	Influenza	✓	✓	✓
SRO	Butterfly rash	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Exercise tolerance decreased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Impaired driving ability	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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