3B5-16903-34296
1 vaccination
4 coded responses
13 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 070 / NJ
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-09
Registered in v-safe
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, 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
-
2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Oedema peripheral — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Hear rate has been increasing since Friday 4/9/21. Under my left armpit is swollen and very painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The heart rate is still increasing while Im just sitting downMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-04-15
- 2021-04-22
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2021-04-30
Survey response — day 21, single doseMedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-13
- 2021-05-20
- 2021-07-10
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2021-10-07
Survey response — 6 months, dose 1MedDRA: Abortion spontaneous, Hospitalisation, Infection — 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 · Emergency room or emergency department visit, HospitalizationFree text: Got pregnant and had a miscarriage and an infection and had to be hospitalized for the infection.MedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Report sent to call center — 6 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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-10-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-07 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Hear rate has been increasing since Friday 4/9/21. Under my left armpit is swollen and very painful
Systemic reaction (other): The heart rate is still increasing while Im just sitting down
Release 8 — day 21, single dose
Symptoms: Headaches.
Release 10 — 6 months, dose 1
Symptoms: Got pregnant and had a miscarriage and an infection and had to be hospitalized for the infection.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release