YZ2-29586-25693

2 vaccinations 9 coded responses 27 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 910 / CA
Registered: 2021-04-10

Relationship: Self
Race: Asian
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
Registered in v-safe
2021-04-10
Dose 1 — Janssen/Johnson & Johnson
2021-04-10
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache · Be unable to work

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-24
Survey response — day 14, dose 1
MedDRA: Arthralgia, Injection site pain, Myalgia — Feeling: Good

Free text: Increased muscle aches around upper arm / shoulder (around injection site)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 21, single dose
MedDRA: Pain in extremity — Feeling: Good

Free text: Arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 28, single dose
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair

Free text: Arm/shoulder area is in pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 35, single dose
MedDRA: Chest pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart pains, not sure if due to vaccine · Healthcare visit (other): Doctor's office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 35, single dose
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-24
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-02
Call 1 — Left Voicemail
2021-07-13
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-10
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-17
Dose 2 — Pfizer-BioNTech
2021-11-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Slight difficulty breathing

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-24
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-12-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 21, dose 2
MedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Stomach flu, likely unrelated to COVID or vaccine/booster

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-31
Survey response — day 42, dose 2
MedDRA: Chest discomfort — Feeling: Good

Free text: Some chest constructions

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — 6 months, dose 2
MedDRA: Cough, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, mild cough

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Survey response — 12 months, dose 2
MedDRA: Cough, Lung disorder — Feeling: Good

Free text: Erratic coughing that wasn't there before: it feels like something rises through my lungs and needs to be coughed out once or twice, and then it's done. This happens at least a couple times a day, sometimes more.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Janssen/Johnson & Johnson
2	2021-11-17	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-17	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-24

Symptoms: Increased muscle aches around upper arm / shoulder (around injection site)

Release 8 — day 21, single dose

2021-05-01

Symptoms: Arm pain

Release 8 — day 28, single dose

2021-05-10

Symptoms: Arm/shoulder area is in pain

Release 8 — day 35, single dose

2021-05-17

Symptoms: Heart pains, not sure if due to vaccine

Healthcare visit (other): Doctor's office visit

Release 10 — days 1–6 daily, dose 2

2021-11-18

Systemic reaction (other): Slight difficulty breathing

Release 10 — day 21, dose 2

2021-12-10

Symptoms: Stomach flu, likely unrelated to COVID or vaccine/booster

Release 10 — day 42, dose 2

2021-12-31

Symptoms: Some chest constructions

Release 11 — 6 months, dose 2

2022-05-18

Symptoms: Fever, mild cough

Release 12 — 12 months, dose 2

2022-11-17

Symptoms: Erratic coughing that wasn't there before: it feels like something rises through my lungs and needs to be coughed out once or twice, and then it's done. This happens at least a couple times a day, sometimes more.

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
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Injection site pain	·	·	✓
SD	Lung disorder	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	·	·	✓
SRO	Dyspnoea	·	·	✓

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