ZTL-44837-91461

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 805 / CO
Registered: 2021-04-08

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

2021-04-07
Dose 1 — Janssen/Johnson & Johnson
2021-04-08
Registered in v-safe
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Lightheaded

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Heavy menstrual bleeding, Menstrual disorder — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea

Free text: Menstrual cycle came early and heavy with lots of clotting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: Vision blurred — Feeling: Fair · Fatigue or tiredness

Free text: Blurry eyesight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 14, dose 1
MedDRA: Vision blurred — Feeling: Fair

Free text: Blurry vision off and on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-12
Survey response — day 35, single dose
MedDRA: Heavy menstrual bleeding — Feeling: Fair · Be unable to do your normal daily activities

Free text: Period is heavier than normal and clots are larger than normal. More stomach issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-07
Survey response — 3 months, dose 1
MedDRA: Migraine, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: Blurry vision and lots of migraines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-08
Survey response — 6 months, dose 1
MedDRA: Breast mass — 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 · Outpatient clinic or urgent care clinic visit

Free text: Lumps in breasts

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — 6 months, dose 1
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)
2021-10-13
Call 1 — Left Voicemail
2021-11-02
Dose 2 — Moderna
2021-11-02
Survey response — day 0, dose 2
MedDRA: Breast pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had a breast biopsy a few weeks ago. All of a sudden that location has a burning sensation.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 2
MedDRA: Menstruation irregular — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My menstrual cycle started a week early.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-16
Survey response — day 14, dose 2
MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle aches

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — day 28, dose 2
MedDRA: Menstrual disorder — Feeling: Good

Free text: Issues with period

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Janssen/Johnson & Johnson
2	2021-11-02	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-08	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Lightheaded

2021-04-13

Systemic reaction (other): Menstrual cycle came early and heavy with lots of clotting.

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): Blurry eyesight.

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Blurry vision off and on.

Release 8 — day 35, single dose

2021-05-12

Symptoms: Period is heavier than normal and clots are larger than normal. More stomach issues.

Release 9 — 3 months, dose 1

2021-07-07

Symptoms: Blurry vision and lots of migraines.

Release 10 — 6 months, dose 1

2021-10-08

Symptoms: Lumps in breasts

Release 10 — day 0, dose 2

2021-11-02

Systemic reaction (other): I had a breast biopsy a few weeks ago. All of a sudden that location has a burning sensation.

Release 10 — days 1–6 daily, dose 2

2021-11-03

Systemic reaction (other): My menstrual cycle started a week early.

Release 10 — day 14, dose 2

2021-11-16

Symptoms: Muscle aches

Release 10 — day 28, dose 2

2021-12-02

Symptoms: Issues with period

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	Breast mass	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Menstrual disorder	·	·	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Breast pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Menstruation irregular	·	·	✓
SRO	Vision blurred	✓	✓	✓

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