YAE-78688-10291

3 vaccinations 22 coded responses 26 check-ins 21 free-text entries 7 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 028 / RI
Registered: 2021-04-11

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

2021-04-10
Dose 1 — Janssen/Johnson & Johnson
2021-04-11
Registered in v-safe
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Emotional disorder, Feeling abnormal — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Emotional, trouble breathing, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Affective disorder, Anxiety — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Anxiety, black mood, terror

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Emotional disorder — Feeling: Poor · Site: Pain · 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, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Emotional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Limb immobilisation, Mood swings — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Mood swings, difficulty moving left leh

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Emotional distress — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Very emotional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 7, dose 1
MedDRA: Affective disorder, Joint stiffness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Jaw clenching, flat mood

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 14, dose 1
MedDRA: Fatigue, Hypersomnia, Somnolence — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Still exhausted. Sleeping 12 hours a night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 21, single dose
MedDRA: Infection — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Infection in jaw

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 28, single dose
MedDRA: Insomnia, Pain — Feeling: Poor · Be unable to work, 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: Insomnia, pain, frequent stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 28, single dose
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-05-24
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-05-25
Call successful
2021-07-10
Survey response — 3 months, dose 1
MedDRA: Fatigue, Headache, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, fatigue, fever, headache

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

Adult check-in
2021-10-30
Dose 2 — Janssen/Johnson & Johnson
2022-04-10
Survey response — 12 months, dose 1
MedDRA: Cervix carcinoma — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cancerous cells on cervix

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-12
Call 1 — Requested Callback
2022-04-14
Call 2 — Requested Callback
2022-04-29
Call successful
Participant prefers to complete VAERS report online
2022-05-02
Callback requested for
01:30PM ET
2022-09-22
Dose 3 — Pfizer-BioNTech
2022-09-24
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety, Headache, Hyperaesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Anxiety, headache, heightened senses

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety, Hypersensitivity, Insomnia — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heightened senses, high anxiety, insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety, Constipation, Sensory disturbance — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Constipation, heightened senses except taste, anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Survey response — days 1–6 daily, dose 3
MedDRA: Nightmare — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nightmares

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Survey response — day 7, dose 3
MedDRA: Anxiety, Nightmare — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme anxiety, nightmares

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Survey response — day 21, dose 3
MedDRA: Asthenia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lack of rnergy

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Survey response — day 28, dose 3
MedDRA: Vaginal disorder — 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: Vaginal issues

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Report sent to call center — day 28, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-21
Call 1 — Left Voicemail
2022-10-29
Survey response — day 35, dose 3
MedDRA: Fatigue, Memory impairment — Feeling: Poor · 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: Memory issues, crushing fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — day 35, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-31
Call successful
Participant prefers to complete VAERS report online
2022-10-31
Call successful
Participant prefers to complete VAERS report online
2022-11-04
Survey response — day 42, dose 3
MedDRA: Depression, Fatigue, Liver function test abnormal, Memory impairment — Feeling: Poor · 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: Fatigue, depression, memory issues, liver test bad

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Report sent to call center — day 42, 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)
2022-11-07
Call successful
Participant prefers to complete VAERS report online
2022-12-22
Survey response — 3 months, dose 3
MedDRA: Depression, Fatigue, Gastrointestinal disorder, Headache, Hyperacusis, Pain in extremity, Vibratory sense increased — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headaches, terrible fatigue, pain in left arm, digestive trouble, depression, acute hearing and sensitivity to vibrations

MedDRA releases: 2024-11 · check-in free text available
2023-03-25
Survey response — 6 months, dose 3
MedDRA: Ear infection — 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

MedDRA releases: 2024-11
2023-03-25
Report sent to call center — 6 months, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-27
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Janssen/Johnson & Johnson
2	2021-10-30	Janssen/Johnson & Johnson	No
3	2022-09-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-13	Successful
2021-05-08	Successful 2021-05-25
2022-04-10	Successful 2022-04-29	Participant prefers to complete VAERS report online
2022-10-20	Successful 2022-10-31	Participant prefers to complete VAERS report online
2022-10-29	Successful 2022-10-31	Participant prefers to complete VAERS report online
2022-11-04	Successful 2022-11-07	Participant prefers to complete VAERS report online
2023-03-25	Successful 2023-03-27	Completed over the phone

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): Emotional, trouble breathing, brain fog

2021-04-12

Systemic reaction (other): Anxiety, black mood, terror

2021-04-13

Systemic reaction (other): Emotional

2021-04-15

Systemic reaction (other): Mood swings, difficulty moving left leh

2021-04-16

Systemic reaction (other): Very emotional

Release 7 — day 7, dose 1

2021-04-17

Systemic reaction (other): Jaw clenching, flat mood

Release 7 — day 14, dose 1

2021-04-24

Symptoms: Still exhausted. Sleeping 12 hours a night.

Release 8 — day 21, single dose

2021-05-01

Symptoms: Infection in jaw

Release 8 — day 28, single dose

2021-05-08

Symptoms: Insomnia, pain, frequent stool

Release 9 — 3 months, dose 1

2021-07-10

Symptoms: Sore throat, fatigue, fever, headache

Release 11 — 12 months, dose 1

2022-04-10

Symptoms: Cancerous cells on cervix

Release 12 — days 1–6 daily, dose 3

2022-09-24

Systemic reaction (other): Anxiety, headache, heightened senses

2022-09-25

Systemic reaction (other): Heightened senses, high anxiety, insomnia

2022-09-26

Systemic reaction (other): Constipation, heightened senses except taste, anxiety

2022-09-27

Systemic reaction (other): Nightmares

Release 12 — day 7, dose 3

2022-09-29

Systemic reaction (other): Extreme anxiety, nightmares

Release 12 — day 21, dose 3

2022-10-13

Symptoms: Lack of rnergy

Release 12 — day 28, dose 3

2022-10-20

Symptoms: Vaginal issues

Release 12 — day 35, dose 3

2022-10-29

Symptoms: Memory issues, crushing fatigue

Release 12 — day 42, dose 3

2022-11-04

Symptoms: Fatigue, depression, memory issues, liver test bad

Release 12 — 3 months, dose 3

2022-12-22

Symptoms: Headaches, terrible fatigue, pain in left arm, digestive trouble, depression, acute hearing and sensitivity to vibrations

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	Asthenia	·	·	✓
SD	Cervix carcinoma	·	·	✓
SD	Depression	·	·	✓
SD	Ear infection	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Hyperacusis	·	·	✓
SD	Hypersomnia	·	·	✓
SD	Infection	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Liver function test abnormal	·	·	✓
SD	Memory impairment	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Somnolence	✓	✓	○
SD	Vaginal disorder	·	·	✓
SD	Vibratory sense increased	·	·	✓
SRO	Affective disorder	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Constipation	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Emotional disorder	✓	✓	✓
SRO	Emotional distress	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Hyperaesthesia	·	·	✓
SRO	Hypersensitivity	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Joint stiffness	✓	✓	✓
SRO	Limb immobilisation	✓	✓	✓
SRO	Mood swings	✓	✓	✓
SRO	Nightmare	·	·	✓
SRO	Sensory disturbance	·	·	✓

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