35R-31563-35560
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 559 / MN
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Headache, DiarrheaAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
-
2021-06-30
Survey response — 3 months, dose 1MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold - sore throat, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-29
Survey response — 6 months, dose 1MedDRA: Arthralgia, Myalgia — 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 visitFree text: Unexplained joint and muscle pain in back, right knee, and left foot.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-29
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-11-15
Dose 2 — Moderna
- 2022-03-31
-
2022-11-17
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Pregnancy — Feeling: GoodFree text: Miscarriage and new pregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-29 | Successful 2021-10-04 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — 3 months, dose 1
Symptoms: Cold - sore throat, congestion
Release 9 — 6 months, dose 1
Symptoms: Unexplained joint and muscle pain in back, right knee, and left foot.
Release 12 — 12 months, dose 2
Symptoms: Miscarriage and new pregnancy
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 | Abortion spontaneous | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release