2C5-31454-44334
1 vaccination
5 coded responses
15 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 766 / TX
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-28
Registered in v-safe
-
2021-04-28
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-28
Survey response — day 0, dose 1MedDRA: Chest pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to workFree text: Chest painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-02
Survey response — days 1–6 daily, dose 1MedDRA: Menstrual clots — Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Passed a few blood clots not my period time and hot bleeding anymoreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · 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 activitiesAdult check-in
-
2021-05-05
Health check-in — day 7, dose 1Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-12
-
2021-05-19
Survey response — day 21, single doseMedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tired weakMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
-
2021-06-02
Survey response — day 35, single doseMedDRA: Nausea, Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nausea pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-28
- 2021-10-27
-
2022-04-28
Survey response — 12 months, dose 1MedDRA: Abortion spontaneous, Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: My lupus is in constant flare up since a got and had 3 miscarriages as well since taking the vaccine. · Healthcare visit (other): MiscarriagesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-28 | Unsuccessful |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Chest pains
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Passed a few blood clots not my period time and hot bleeding anymore
Release 8 — day 21, single dose
Symptoms: Tired weak
Release 8 — day 35, single dose
Symptoms: Nausea pregnant
Release 11 — 12 months, dose 1
Symptoms: My lupus is in constant flare up since a got and had 3 miscarriages as well since taking the vaccine.
Healthcare visit (other): Miscarriages
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 | Abortion spontaneous | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Systemic lupus erythematosus | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Menstrual clots | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release