42M-80417-05963
1 vaccination
6 coded responses
15 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 275 / NC
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-12
Registered in v-safe
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-03
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2021-04-08
Survey response — day 28, single doseMedDRA: Skin laceration, Wound — 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: Cut fingerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 28, single doseBe unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-15
Survey response — day 35, single doseMedDRA: Migraine — Feeling: Good · Be unable to do your normal daily activitiesFree text: MigraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Survey response — day 42, single doseMedDRA: Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
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2021-06-10
Survey response — 3 months, dose 1MedDRA: Sinusitis — Feeling: Good · Be unable to work, 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 visitFree text: Sinus infection that took a long time to resolveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-10
Report sent to call center — 3 months, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-14
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2021-09-09
Survey response — 6 months, dose 1MedDRA: Sinusitis — 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 visitFree text: Recurrent sinus infectionsMedDRA releases: 2024-11 · check-in free text available
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2021-09-09
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 pr1 call case(s)
- 2021-09-10
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2022-03-11
Survey response — 12 months, dose 1MedDRA: Ear infection, Pregnancy — Feeling: GoodFree text: Pregnancy, ear infectionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-08 | Unsuccessful | |
| 2021-06-10 | Unsuccessful | |
| 2021-09-09 | Unsuccessful |
Free text
Release 7 — day 28, single dose
Symptoms: Cut finger
Release 7 — day 35, single dose
Symptoms: Migraine
Release 7 — day 42, single dose
Symptoms: Headache
Release 9 — 3 months, dose 1
Symptoms: Sinus infection that took a long time to resolve
Release 9 — 6 months, dose 1
Symptoms: Recurrent sinus infections
Release 11 — 12 months, dose 1
Symptoms: Pregnancy, ear 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 | Ear infection | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Skin laceration | ✓ | · | ✓ |
| SD | Wound | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release