78A-49858-28777
1 vaccination
2 coded responses
16 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 411 / KY
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-23
-
2021-06-10
Survey response — 3 months, dose 1MedDRA: Anaemia, Office visit, Uterine leiomyoma — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Fibroid on my uterus, anemia · Healthcare visit (other): Drs officeMedDRA 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 do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-09
Survey response — 6 months, dose 1MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I had a miscarriage at 7 weeks on August 26th · Healthcare visit (other): OB follow upMedDRA releases: 2024-11 · check-in free text available
-
2021-09-09
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-10
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-10 | Successful 2021-06-14 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-09-09 | Unsuccessful |
Free text
Release 9 — 3 months, dose 1
Release 9 — 6 months, dose 1
Symptoms: I had a miscarriage at 7 weeks on August 26th
Healthcare visit (other): OB follow up
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 | Abortion spontaneous | · | · | ✓ |
| SD | Anaemia | ✓ | ✓ | ✓ |
| SD | Uterine leiomyoma | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release