YTC-31220-29051

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 928 / CA
Registered: 2021-03-09

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Janssen/Johnson & Johnson
2021-03-09
Survey response — day 0, dose 1
MedDRA: Immediate post-injection reaction, Injection site pain, Paraesthesia, Pruritus — Feeling: Good · Site: Pain

Free text: pain at injection site went away by 3 minutes. Faint itchy/tingling sensed(may be psychosomatic) on skin around 7 minutes and went away by 10 minutes.

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: Dizziness — Feeling: Fair · Site: Pain · Headache

Free text: dizziness. May be related to upcoming menstrual cycle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration, Dry mouth — Feeling: Good · Headache

Free text: dehydration, dry mouth in the am.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration, Dry mouth — Feeling: Good · Headache

Free text: dry mouth, dehydration in the AM

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration — Feeling: Good · Fatigue or tiredness

Free text: dehydrated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Breast mass — Feeling: Good

Free text: A hard lump in breast on same side of the body the injection was on. Thursday (3days ago) I became aware of it. It has since gone down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: lump(lymph node) in breast has shrunken, softened, and is almost unfeelable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-08
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-07
Survey response — 6 months, dose 1
MedDRA: Fatigue, Lymphadenopathy, Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Self-medication — Feeling: Good

Free text: congestion, runny nose, swollen throat lymph nodes, tiredness, and achy. Treated with cold medicine, and COVID tested negative.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Dose 2 — Moderna
2021-11-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-24
Survey response — day 21, dose 2
MedDRA: Food poisoning — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Food poisoning.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-05-11
Survey response — 6 months, dose 2
MedDRA: Headache, Influenza like illness, Lymphadenopathy, Oropharyngeal pain, Respiratory tract congestion, Self-medication — Feeling: Good

Free text: Swollen neck lymph nodes and flu like symptoms. Sore throat head throb, and congestion. I took DayQuil meds. It lasted about a week to two weeks, give or take a couple of days. I'm better now though.

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Janssen/Johnson & Johnson
2	2021-11-03	Moderna	No

Free text

Release 5 — day 0, dose 1

2021-03-09

Systemic reaction (other): pain at injection site went away by 3 minutes. Faint itchy/tingling sensed(may be psychosomatic) on skin around 7 minutes and went away by 10 minutes.

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): dizziness. May be related to upcoming menstrual cycle.

2021-03-11

Systemic reaction (other): dehydration, dry mouth in the am.

2021-03-12

Systemic reaction (other): dry mouth, dehydration in the AM

2021-03-14

Systemic reaction (other): dehydrated

2021-03-15

Systemic reaction (other): A hard lump in breast on same side of the body the injection was on. Thursday (3days ago) I became aware of it. It has since gone down.

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): lump(lymph node) in breast has shrunken, softened, and is almost unfeelable.

Release 9 — 6 months, dose 1

2021-09-07

Symptoms: congestion, runny nose, swollen throat lymph nodes, tiredness, and achy. Treated with cold medicine, and COVID tested negative.

Release 10 — day 21, dose 2

2021-11-24

Symptoms: Food poisoning.

Release 11 — 6 months, dose 2

2022-05-11

Symptoms: Swollen neck lymph nodes and flu like symptoms. Sore throat head throb, and congestion. I took DayQuil meds. It lasted about a week to two weeks, give or take a couple of days. I'm better now though.

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	Food poisoning	·	·	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	·	·	✓
SRO	Breast mass	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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