ZHW-22784-81510

4 vaccinations 5 coded responses 35 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 809 / CO
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Janssen/Johnson & Johnson
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Redness, Itching · Headache

Free text: Headache is not as bad today as yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Good · Site: Pain

Free text: I usually have bad pain, swelling and itching after any vaccination for at least a month. The J&J vaccine has been easy in comparison.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 28, single dose
MedDRA: Headache, Musculoskeletal stiffness — Feeling: Good

Free text: Stiff neck and headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-05
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-04
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-22
Dose 2 — Moderna
2021-10-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 42, dose 2
MedDRA: Cough, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever, cough, achy, congestion, wheezing the past week. Had 2 negative rapid covid tests. Been at home and not around anyone as spouse was out of town. Feeling much better now.

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-06
Dose 3 — Moderna
2022-04-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-09
Dose 4 — Moderna
Co-administered: Flu
2022-10-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-09
Survey response — 3 months, dose 4
MedDRA: Bronchitis, Sinusitis — Feeling: Fair · 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: Sinus infection/bronchitid

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-14
Call 1 — Could Not Reach Participant
2022-12-19
Call 2 — Left Voicemail
2023-03-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Janssen/Johnson & Johnson
2	2021-10-22	Moderna	No
3	2022-04-06	Moderna	No
4	2022-09-09	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-12-09	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Headache is not as bad today as yesterday.

2021-03-12

Systemic reaction (other): I usually have bad pain, swelling and itching after any vaccination for at least a month. The J&J vaccine has been easy in comparison.

Release 6 — day 28, single dose

2021-04-03

Symptoms: Stiff neck and headache.

Release 10 — day 42, dose 2

2021-12-03

Symptoms: Fever, cough, achy, congestion, wheezing the past week. Had 2 negative rapid covid tests. Been at home and not around anyone as spouse was out of town. Feeling much better now.

Release 12 — 3 months, dose 4

2022-12-09

Symptoms: Sinus infection/bronchitid

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	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Wheezing	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓

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