Y6D-19360-85661

2 vaccinations 3 coded responses 30 check-ins 3 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 894 / NV
Registered: 2021-03-21

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

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Janssen/Johnson & Johnson
2021-03-21
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · 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
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-11
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-20
Survey response — 3 months, dose 1
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Call 1 — Left Voicemail
2021-09-21
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-10-29
Dose 2 — Pfizer-BioNTech
2021-10-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

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

Adult check-in
2021-11-02
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 · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 2
Feeling: Good · None

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
2021-11-28
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
2022-01-28
Survey response — 3 months, dose 2
MedDRA: Brain fog, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion — 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 · Outpatient clinic or urgent care clinic visit

Free text: Tiredness, fog brain, headache, sore throat, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-10-29
Survey response — 12 months, dose 2
MedDRA: Gastrointestinal disorder, Pernicious anaemia — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Pernicious Anemia and gastrointestinal issues.

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
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 · Emergency room or emergency department visit · 1 call case(s)
2022-10-31
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Janssen/Johnson & Johnson
2	2021-10-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-20	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-28	Successful 2022-02-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-29	Successful 2022-10-31	Not applicable - Accidental Reporting

Free text

Release 9 — 3 months, dose 1

2021-06-20

Symptoms: Sinus infection

Release 11 — 3 months, dose 2

2022-01-28

Symptoms: Tiredness, fog brain, headache, sore throat, congestion

Release 12 — 12 months, dose 2

2022-10-29

Symptoms: Pernicious Anemia and gastrointestinal issues.

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	Brain fog	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pernicious anaemia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	✓	✓	✓

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