YZD-32877-03605

3 vaccinations 11 coded responses 35 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 547 / WI
Registered: 2021-03-20

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Janssen/Johnson & Johnson
2021-03-20
Health check-in — day 0, dose 1
Feeling: Fair · Fever · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-27
Survey response — day 7, dose 1
MedDRA: Chest discomfort — Feeling: Good

Free text: My chest feels heavy

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

Adult check-in
2021-04-10
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 35, single dose
MedDRA: Fatigue — Feeling: Fair

Free text: Extreme tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-09-20
Survey response — 6 months, dose 1
MedDRA: Dyspnoea, Heart rate increased, Photophobia — Feeling: Poor · Be unable to work or attend school

Free text: Fast heart rate, labored breathing with activity, light sensitivityp

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Dose 2 — Pfizer-BioNTech
2021-11-15
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Muscle or body aches

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

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-22
Health check-in — day 7, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-29
Survey response — day 14, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair

Free text: Chest congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-12-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-12-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-12-27
Survey response — day 42, dose 2
MedDRA: Chest discomfort, Dyspnoea — Feeling: Poor

Free text: Heaviness in chest & somewhat labored breathing

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Survey response — 3 months, dose 2
MedDRA: Fatigue, Heart rate abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, irratic heart beat

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Dose 3 — Moderna
Co-administered: Pneumonia:Tetanus
2022-05-16
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease — 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: They are not new, but from when I had covid early in the pandemic (end of March/ April 2020). I am still having issues with severe joint pain, brain fog, smelling cigarette smoke when it's not there, and an elevated heart rate.

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — 6 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)
2022-05-17
Call 1 — Left Voicemail
2022-06-05
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-06-06
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-06-16
Survey response — day 28, dose 3
MedDRA: Headache, Paranasal sinus discomfort, Respiratory tract congestion, Throat irritation — Feeling: Fair

Free text: Raw throat, chest congestion, headaches, and sinus pressure...

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Survey response — day 35, dose 3
MedDRA: Heart rate increased, Palpitations — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fast heart rate and palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Survey response — day 42, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Unevaluable event — Feeling: Fair

Free text: Cold & sinus. I took at home covid tests 2x. They were negative

MedDRA releases: 2024-11 · check-in free text available
2022-08-15
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Headache, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Increased allergies, headaches, & joint pain

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Janssen/Johnson & Johnson
2	2021-11-15	Pfizer-BioNTech	No
3	2022-05-16	Moderna	Pneumonia:Tetanus

Call center

Reported	Outcome	VAERS-related outcome
2022-05-16	Unsuccessful

Free text

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): My chest feels heavy

Release 7 — day 35, single dose

2021-04-24

Symptoms: Extreme tiredness

Release 9 — 6 months, dose 1

2021-09-20

Symptoms: Fast heart rate, labored breathing with activity, light sensitivityp

Release 10 — day 14, dose 2

2021-11-29

Symptoms: Chest congestion

Release 10 — day 42, dose 2

2021-12-27

Symptoms: Heaviness in chest & somewhat labored breathing

Release 11 — 3 months, dose 2

2022-02-15

Symptoms: Fatigue, irratic heart beat

Release 11 — 6 months, dose 2

2022-05-16

Symptoms: They are not new, but from when I had covid early in the pandemic (end of March/ April 2020). I am still having issues with severe joint pain, brain fog, smelling cigarette smoke when it's not there, and an elevated heart rate.

Release 12 — day 28, dose 3

2022-06-16

Symptoms: Raw throat, chest congestion, headaches, and sinus pressure...

Release 12 — day 35, dose 3

2022-06-20

Symptoms: Fast heart rate and palpitations

Release 12 — day 42, dose 3

2022-06-27

Symptoms: Cold & sinus. I took at home covid tests 2x. They were negative

Release 12 — 3 months, dose 3

2022-08-15

Symptoms: Increased allergies, headaches, & joint pain

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	Arthralgia	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Heart rate abnormal	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Palpitations	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Photophobia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Chest discomfort	✓	✓	✓

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