4WC-28503-65144
1 vaccination
1 coded response
8 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 117 / NY
- Registered
- 2021-09-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-23
Dose 1 — Janssen/Johnson & Johnson
-
2021-09-29
Registered in v-safe
-
2021-09-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-09-30
- 2021-10-07
- 2021-10-16
- 2021-10-23
- 2021-11-04
- 2021-12-23
-
2022-09-25
Survey response — 12 months, dose 1MedDRA: Delivery, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I was 13 weeks pregnant when I was vaccinated with the J&J vaccine and my child was born (b)(6) with a corneal opacity in both eyes which expected to have occurred between 12-14 weeks in my pregnancy. The link between this is suspect. · Healthcare visit (other): ophthalmologist visits and surgical careMedDRA releases: 2024-11 · check-in free text available
-
2022-09-25
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-23 | Janssen/Johnson & Johnson | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-25 | Unsuccessful |
Free text
Release 12 — 12 months, dose 1
Symptoms: I was 13 weeks pregnant when I was vaccinated with the J&J vaccine and my child was born (b)(6) with a corneal opacity in both eyes which expected to have occurred between 12-14 weeks in my pregnancy. The link between this is suspect.
Healthcare visit (other): ophthalmologist visits and surgical care
redacted (b)(6)
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 | Office visit | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release