29C-12844-59186
2 vaccinations
2 coded responses
7 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 207 / MD
- Registered
- 2021-09-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FWS-60086-33534
Child or adolescent in my care · Female · 2022-06-29
Timeline
-
2021-04-05
Dose 1 — Janssen/Johnson & Johnson
-
2021-09-14
Registered in v-safe
-
2021-10-04
Survey response — 6 months, dose 1MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pregnancy (not new, but there was no where to record this when I first registered). I was 10 weeks pregnant on 4/5/21 when I received the J&J vaccine. Due date is 11/1/21.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-23
Dose 2 — Moderna
- 2021-11-01
- 2021-11-05
- 2021-11-08
- 2021-11-15
-
2021-11-20
Survey response — day 28, dose 2MedDRA: Mammary duct ectasia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Clogged milk duct and possible mastitisMedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-23
- 2021-12-04
- 2022-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Janssen/Johnson & Johnson | No |
| 2 | 2021-10-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-04 | Unsuccessful | |
| 2021-11-20 | Unsuccessful |
Free text
Release 9 — 6 months, dose 1
Symptoms: Pregnancy (not new, but there was no where to record this when I first registered). I was 10 weeks pregnant on 4/5/21 when I received the J&J vaccine. Due date is 11/1/21.
Release 10 — day 28, dose 2
Symptoms: Clogged milk duct and possible 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 | Mammary duct ectasia | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release