6UP-26559-87147
1 vaccination
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 920 / CA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
BV8-30011-79751
Child or adolescent in my care · Male · 2022-06-24
635-22160-69492
Child or adolescent in my care · Female · 2022-09-25
Timeline
-
2021-04-08
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-09
Registered in v-safe
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-04-11
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
-
2021-05-21
Survey response — day 42, single doseMedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose, sore throat, cold-like symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-08
-
2021-10-07
Survey response — 6 months, dose 1MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-12
-
2021-10-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-07 | Successful 2021-10-13 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 8 — day 42, single dose
Symptoms: Runny nose, sore throat, cold-like symptoms
Release 10 — 6 months, dose 1
Symptoms: 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 | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release