YBS-12185-69321

2 vaccinations 7 coded responses 27 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 222 / VA
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Janssen/Johnson & Johnson
2021-04-01
Survey response — day 0, dose 1
MedDRA: Paraesthesia, Paraesthesia oral — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Tingling in my jaw on the side of injection, tingling in my tongue on opposite side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 21, single dose
MedDRA: Abdominal discomfort, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: More headaches than usual, stomach upset for three days this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 28, single dose
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-30
Survey response — 6 months, dose 1
MedDRA: Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test negative — 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: I have had a sore throat, headache and exhaustion since Sunday 9/26. I tested negative for covid (PCR).

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Call 1 — Left Voicemail
2021-11-05
Dose 2 — Pfizer-BioNTech
2021-11-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

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

Adult check-in
2021-11-12
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 28, dose 2
MedDRA: Asthenopia, Fatigue, Headache, Malaise, Sensitive skin — Feeling: Good

Free text: Increased headaches in frequency and intensity, 'heavy' feeling eyes like when I'm sick, very sensitive skin, and fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Abdominal pain, Exposure to SARS-CoV-2, Fatigue, Headache, Myalgia, Nausea, Oropharyngeal pain, Pharyngeal erythema, Throat irritation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I was exposed to someone who tested positive for covid, and 4 days later started having an upset stomach (hard to eat, felt painful/nauseous after) and day 5 got a red throat that was sometimes sore/scratchy, headache, fatigue, and muscle aches.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Abdominal pain upper, Self-medication, Sleep disorder — Feeling: Fair · Be unable to work or attend school

Free text: Wakened with horrible stomach pain a few days ago and didn't know if I would vomit or have diarrhea. I took some medicine and neither happened but my stomach was upset for three days.

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Survey response — 3 months, dose 2
MedDRA: Decreased appetite, Diarrhoea, Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · 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: Headache, sore throat, runny nose, diarrhea, loss of appetite, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
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)
2022-02-09
Call successful
Participant prefers to complete VAERS report online
2022-05-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-11-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Janssen/Johnson & Johnson
2	2021-11-05	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-30	Successful	Participant prefers to complete VAERS report online
2022-02-04	Successful 2022-02-09	Participant prefers to complete VAERS report online

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): Tingling in my jaw on the side of injection, tingling in my tongue on opposite side of injection

Release 7 — day 21, single dose

2021-04-24

Symptoms: More headaches than usual, stomach upset for three days this week.

Release 9 — 6 months, dose 1

2021-09-30

Symptoms: I have had a sore throat, headache and exhaustion since Sunday 9/26. I tested negative for covid (PCR).

Release 10 — day 28, dose 2

2021-12-03

Symptoms: Increased headaches in frequency and intensity, 'heavy' feeling eyes like when I'm sick, very sensitive skin, and fatigue

Release 10 — day 35, dose 2

2021-12-10

Symptoms: I was exposed to someone who tested positive for covid, and 4 days later started having an upset stomach (hard to eat, felt painful/nauseous after) and day 5 got a red throat that was sometimes sore/scratchy, headache, fatigue, and muscle aches.

Release 10 — day 42, dose 2

2021-12-17

Symptoms: Wakened with horrible stomach pain a few days ago and didn't know if I would vomit or have diarrhea. I took some medicine and neither happened but my stomach was upset for three days.

Release 11 — 3 months, dose 2

2022-02-04

Symptoms: Headache, sore throat, runny nose, diarrhea, loss of appetite, congestion

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	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Asthenopia	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Malaise	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pharyngeal erythema	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	·	·	✓
SD	Sensitive skin	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓

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