BJZ-30155-10439
1 vaccination
3 coded responses
12 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 974 / OR
- Registered
- 2021-05-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-29
Registered in v-safe
-
2021-05-29
Dose 1 — Janssen/Johnson & Johnson
-
2021-05-29
Health check-in — day 0, dose 1Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-30
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Extreme low back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-04
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-05
Health check-in — day 7, dose 1Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-06-12
Survey response — day 14, dose 1MedDRA: Nausea, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Nausea, vomitingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-19
- 2021-06-26
- 2021-07-03
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2021-07-10
Survey response — day 42, single doseMedDRA: Impaired healing — Feeling: Fair · Be unable to work or attend school, 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: Skin opening up and refusing to heal all over body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-10
Report sent to call center — day 42, single doseBe 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)
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2021-07-14
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-29
- 2021-11-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-29 | Janssen/Johnson & Johnson |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Extreme low back pain
Release 9 — day 14, dose 1
Symptoms: Nausea, vomiting
Release 9 — day 42, single dose
Symptoms: Skin opening up and refusing to heal all over body.
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 | Impaired healing | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release