ZLU-20686-80723

3 vaccinations 4 coded responses 39 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 027 / MA
Registered: 2021-04-11

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

2021-04-10
Dose 1 — Janssen/Johnson & Johnson
2021-04-11
Registered in v-safe
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · 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 · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

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

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

Adult check-in
2021-04-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 21, single dose
MedDRA: Arthralgia, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Soft tissue neck and shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-09
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-29
Dose 2 — Moderna
2021-10-29
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

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

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 35, dose 2
MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Considerable nausea, fatigue, and increased appetite presumably due to being 6-7 weeks pregnant

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-25
Dose 3 — Pfizer-BioNTech
2022-04-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-29
Survey response — 6 months, dose 2
MedDRA: Dairy intolerance, Pregnancy — Feeling: Good

Free text: I developed a sensitivity to dairy, suspected by my PCP to be pregnancy related. I also received a Pfizer booster on 4/25/22.

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-10-26
Survey response — 6 months, dose 3
MedDRA: Mastitis — Feeling: Poor · 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: Mastitis

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Report sent to call center — 6 months, dose 3
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)
2022-10-27
Call 1 — Left Voicemail
2023-04-25
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Janssen/Johnson & Johnson
2	2021-10-29	Moderna	No
3	2022-04-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-10-26	Unsuccessful

Free text

Release 8 — day 21, single dose

2021-05-01

Symptoms: Soft tissue neck and shoulder pain

Release 10 — day 35, dose 2

2021-12-03

Symptoms: Considerable nausea, fatigue, and increased appetite presumably due to being 6-7 weeks pregnant

Release 11 — 6 months, dose 2

2022-04-29

Symptoms: I developed a sensitivity to dairy, suspected by my PCP to be pregnancy related. I also received a Pfizer booster on 4/25/22.

Release 12 — 6 months, dose 3

2022-10-26

Symptoms: Mastitis

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	Dairy intolerance	·	·	✓
SD	Mastitis	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Pregnancy	·	·	✓

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