Y76-15433-65767

2 vaccinations 10 coded responses 29 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 754 / TX
Registered: 2021-04-07

Relationship: Self
Race: White
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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Janssen/Johnson & Johnson
2021-04-07
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain surrounding all surgical steel implants

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Probably overreacting...but this headache is annoying

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: Cant shake this fatigue...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, single dose
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 42, single dose
MedDRA: Headache — Feeling: Fair

Free text: Constant dull headache all day every day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Survey response — 3 months, dose 1
MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school

Free text: Feel wiped out about half way through the dayevery day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-06
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-01-10
Dose 2 — Pfizer-BioNTech
2022-01-10
Survey response — day 0, dose 2
MedDRA: Heart rate increased — Feeling: Good

Free text: Increased heart rate

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, 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 · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2022-01-17
Survey response — day 7, dose 2
MedDRA: Injection site reaction, Rash erythematous — Feeling: Good

Free text: Large red rash in underarm right under injection site

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-02-07
Survey response — day 28, dose 2
MedDRA: Fatigue, Rash, Rash erythematous — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue that comes and goes in waves. A red circular rash on my under arm and armpit directly below injection site

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-02-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-04-11
Survey response — 3 months, dose 2
MedDRA: Palpitations — Feeling: Good

Free text: Palpitations

MedDRA releases: 2024-11 · check-in free text available
2023-01-10
Survey response — 12 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Janssen/Johnson & Johnson
2	2022-01-10	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Pain surrounding all surgical steel implants

2021-04-13

Systemic reaction (other): Probably overreacting...but this headache is annoying

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): Cant shake this fatigue...

Release 8 — day 42, single dose

2021-05-19

Symptoms: Constant dull headache all day every day.

Release 9 — 3 months, dose 1

2021-07-07

Symptoms: Feel wiped out about half way through the dayevery day.

Release 10 — day 0, dose 2

2022-01-10

Systemic reaction (other): Increased heart rate

Release 10 — day 7, dose 2

2022-01-17

Systemic reaction (other): Large red rash in underarm right under injection site

Release 11 — day 28, dose 2

2022-02-07

Symptoms: Extreme fatigue that comes and goes in waves. A red circular rash on my under arm and armpit directly below injection site

Release 11 — 3 months, dose 2

2022-04-11

Symptoms: Palpitations

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	·	·	✓
SRO	Injection site reaction	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Rash erythematous	·	·	✓

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