Z2G-14156-35944

3 vaccinations 8 coded responses 28 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 981 / WA
Registered: 2021-03-31

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

SYC-16543-85571 Child or adolescent in my care · Female · 2022-10-26

Timeline

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Janssen/Johnson & Johnson
2021-03-31
Health check-in — day 0, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pyrexia — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Most of my aches and pains and fever were last night starting at 5 PM, about 8 hours after shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Feel great!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Feeling groovy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 1
MedDRA: Depressed mood — Feeling: Good

Free text: A little depressed, but probably nothing to do with vaccine. Though I am not normally depressed.

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

Adult check-in
2021-04-21
Survey response — day 21, single dose
MedDRA: Headache — Feeling: Fair

Free text: I had a headache for 4 days. It wasnt terrible. It finally went away yesterday.

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

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

Adult check-in
2021-05-14
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
2021-10-03
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-27
Dose 2 — Moderna
2021-10-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My arms and hands ache.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-11-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-10-25
Dose 3 — Pfizer-BioNTech
2022-10-25
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Fatigue and aches overnight, but great today.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-12-06
Survey response — day 42, dose 3
MedDRA: Ear infection, Respiratory syncytial virus infection, Sinusitis — 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: I had RSV (not tested though) and that turned into a sinus and ear infection.

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Report sent to call center — day 42, dose 3
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)
2022-12-08
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Janssen/Johnson & Johnson
2	2021-10-27	Moderna	No
3	2022-10-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-12-06	Successful 2022-12-08	Not applicable - Accidental Reporting

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Most of my aches and pains and fever were last night starting at 5 PM, about 8 hours after shot.

2021-04-02

Systemic reaction (other): Feel great!

2021-04-04

Systemic reaction (other): Feeling groovy.

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): A little depressed, but probably nothing to do with vaccine. Though I am not normally depressed.

Release 7 — day 21, single dose

2021-04-21

Symptoms: I had a headache for 4 days. It wasnt terrible. It finally went away yesterday.

Release 10 — days 1–6 daily, dose 2

2021-10-28

Systemic reaction (other): My arms and hands ache.

Release 12 — days 1–6 daily, dose 3

2022-10-26

Systemic reaction (other): Fatigue and aches overnight, but great today.

Release 12 — day 42, dose 3

2022-12-06

Symptoms: I had RSV (not tested though) and that turned into a sinus and ear infection.

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	Ear infection	·	·	✓
SD	Headache	✓	✓	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Depressed mood	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pyrexia	✓	✓	✓

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