YB5-30874-43415

2 vaccinations 11 coded responses 16 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 021 / MA
Registered: 2021-03-07

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

2021-03-06
Dose 1 — Janssen/Johnson & Johnson
2021-03-07
Registered in v-safe
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Hyperhidrosis, Nightmare — Feeling: Poor · 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

Free text: Very High heart rate, sweating, nightmares

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Heart rate increased — 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

Free text: Dizzy. Lightheaded. High heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Pruritus — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Itchy body, pain in left ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Pruritus — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Itchy body and left ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 7, dose 1
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left ear pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Call 1 — Left Voicemail
2021-03-20
Survey response — day 14, dose 1
MedDRA: Fatigue, Pain in extremity — Feeling: Fair

Free text: Arm is still sore. My body is overall tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-04-03
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 42, single dose
MedDRA: Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Im having more headaches than before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — 3 months, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: More headaches than usual.

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

Adult check-in
2021-11-28
Dose 2 — Moderna
2022-03-06
Survey response — 12 months, dose 1
MedDRA: Balance disorder, Dizziness, Migraine, Vestibular 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Way more migraines than ever. Some vestibular weakness causing dizziness and a feeling of being off balance.

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Survey response — 3 months, dose 2
MedDRA: Balance disorder, Dizziness, Migraine — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: More frequent and painful migraines. Dizziness and off balancedness.

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Report sent to call center — 12 months, dose 1
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)
2022-03-06
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)
2022-03-07
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-06-03
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-11-30
Survey response — 12 months, dose 2
MedDRA: COVID-19, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart rate is always elevated since covid

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Janssen/Johnson & Johnson
2	2021-11-28	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-13	Unsuccessful
2022-03-06	Successful	Reported to VAERS voluntarily prior to GDIT contact
2022-03-06	Successful 2022-03-07	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Very High heart rate, sweating, nightmares

2021-03-08

Systemic reaction (other): Dizzy. Lightheaded. High heart rate

2021-03-09

Systemic reaction (other): Itchy body, pain in left ear

2021-03-10

Systemic reaction (other): Itchy body and left ear pain

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Left ear pain.

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Arm is still sore. My body is overall tired.

Release 7 — day 42, single dose

2021-04-17

Symptoms: Im having more headaches than before

Release 8 — 3 months, dose 1

2021-06-05

Symptoms: More headaches than usual.

Release 11 — 3 months, dose 2

2022-03-06

Symptoms: More frequent and painful migraines. Dizziness and off balancedness.

Release 11 — 12 months, dose 1

2022-03-06

Symptoms: Way more migraines than ever. Some vestibular weakness causing dizziness and a feeling of being off balance.

Release 12 — 12 months, dose 2

2022-11-30

Symptoms: Heart rate is always elevated since covid

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	Balance disorder	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Migraine	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Vestibular disorder	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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