ZZT-73491-03852

2 vaccinations 13 coded responses 27 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 448 / OH
Registered: 2021-08-20

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

2021-08-20
Registered in v-safe
2021-08-20
Dose 1 — Janssen/Johnson & Johnson
2021-08-20
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain

Free text: Entire arm was numb for a few hours after shot

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Survey response — days 1–6 daily, dose 1
MedDRA: Incontinence, Insomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Insomnia, mild incontinence

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Eye pain, Photophobia, Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Pain in both eyes, hypersensitive to light. Stabbing pain under left ear that comes and goes. Congestion.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site scar — Feeling: Good · Site: Pain

Free text: About 1mm of scar tissue has formed around my injection site

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-08-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-27
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-09-05
Survey response — day 14, dose 1
MedDRA: Dysphagia, Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dysphagia, food getting stuck in esophagus, runny nose, sore throat, sudden extreme fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-10
Survey response — day 21, single dose
MedDRA: Dysphagia, Eosinophilic oesophagitis, Unevaluable event — 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: Symptoms: Diagnosed with eosinophilic esophagitis this week. Still having trouble swallowing food after endoscopy & esophagus dilation · Healthcare visit (other): Outpatient endoscopy

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — day 21, single dose
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call successful
Participant prefers to complete VAERS report online
2021-09-17
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-09-24
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-10-01
Survey response — day 42, single dose
MedDRA: Headache, Self-medication — Feeling: Fair

Free text: 24hr headache that isnt helped by Tylenol

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-12-01
Dose 2 — Moderna
2021-12-02
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Hot flashes, insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very swollen & painful lymph nodes in armpit on vaccine side

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea, Abdominal pain

Adult check-in
2021-12-09
Health check-in — day 7, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-12-15
Survey response — day 14, dose 2
MedDRA: Pollakiuria — Feeling: Good

Free text: Frequent urination

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — day 21, dose 2
MedDRA: Cough, Fatigue, Headache, Respiratory symptom — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Upper respiratory infection symptoms, headache, dry cough, fatigue Negative PCR

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — day 28, dose 2
MedDRA: Back pain, Cough, Paranasal sinus inflammation, Sinus pain, Sputum discoloured — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe back pain, yellow & green mucus, sinus inflammation and pain, dry cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-02
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · 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: Mental fog, confusion, difficulty communicating, dizziness none of these are new but were dramatically worse recently

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 3 months, dose 2
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)
2022-03-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-20	Janssen/Johnson & Johnson	No
2	2021-12-01	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-08-20

Systemic reaction (other): Entire arm was numb for a few hours after shot

Release 9 — days 1–6 daily, dose 1

2021-08-21

Systemic reaction (other): Insomnia, mild incontinence

2021-08-22

Systemic reaction (other): Pain in both eyes, hypersensitive to light. Stabbing pain under left ear that comes and goes. Congestion.

2021-08-23

Systemic reaction (other): About 1mm of scar tissue has formed around my injection site

Release 9 — day 14, dose 1

2021-09-05

Symptoms: Dysphagia, food getting stuck in esophagus, runny nose, sore throat, sudden extreme fatigue

Release 9 — day 21, single dose

2021-09-10

Symptoms: Diagnosed with eosinophilic esophagitis this week. Still having trouble swallowing food after endoscopy & esophagus dilation

Healthcare visit (other): Outpatient endoscopy

Release 9 — day 42, single dose

2021-10-01

Symptoms: 24hr headache that isnt helped by Tylenol

Release 10 — days 1–6 daily, dose 2

2021-12-02

Systemic reaction (other): Hot flashes, insomnia

2021-12-03

Systemic reaction (other): Very swollen & painful lymph nodes in armpit on vaccine side

Release 10 — day 14, dose 2

2021-12-15

Symptoms: Frequent urination

Release 10 — day 21, dose 2

2021-12-24

Symptoms: Upper respiratory infection symptoms, headache, dry cough, fatigue Negative PCR

Release 10 — day 28, dose 2

2021-12-29

Symptoms: Severe back pain, yellow & green mucus, sinus inflammation and pain, dry cough

Release 11 — 3 months, dose 2

2022-03-02

Symptoms: Mental fog, confusion, difficulty communicating, dizziness none of these are new but were dramatically worse recently

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
HCVO	Unevaluable event	·	·	✓
SD	Back pain	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Dysphagia	✓	·	✓
SD	Eosinophilic oesophagitis	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Paranasal sinus inflammation	·	·	✓
SD	Pollakiuria	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	Self-medication	·	·	✓
SD	Sinus pain	·	·	✓
SD	Sputum discoloured	·	·	✓
SRO	Ear pain	✓	·	✓
SRO	Eye pain	✓	·	✓
SRO	Hot flush	·	·	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Incontinence	✓	·	✓
SRO	Injection site scar	✓	·	✓
SRO	Insomnia	✓	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Photophobia	✓	·	✓
SRO	Respiratory tract congestion	✓	·	✓

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