C9P-28719-17739
1 vaccination
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 997 / AK
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-23
Registered in v-safe
-
2021-03-23
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 · Be unable to workAdult check-in
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-03-25
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, NauseaAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-12
-
2021-04-21
Survey response — day 28, single doseMedDRA: Muscle spasms, Nausea — Feeling: GoodFree text: I experienced unusual period cramping accompanied with nausea - this is un-normal for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
-
2021-06-23
Survey response — 3 months, dose 1MedDRA: Dysmenorrhoea, Hypomenorrhoea, Menstrual clots, Menstruation irregular, Premenstrual syndrome — Feeling: GoodFree text: My menstrual cycles have changed significantly - I now experience menstrual cramps, menstrual clotting, more severe PMS, with bleeding shortened to 1 day instead of 2 or 3 days. These symptoms were not present prior to receiving my vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-20
-
2022-03-22
Survey response — 12 months, dose 1MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Miscarriage of pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-03-22
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-22 | Unsuccessful |
Free text
Release 7 — day 28, single dose
Symptoms: I experienced unusual period cramping accompanied with nausea - this is un-normal for me.
Release 9 — 3 months, dose 1
Symptoms: My menstrual cycles have changed significantly - I now experience menstrual cramps, menstrual clotting, more severe PMS, with bleeding shortened to 1 day instead of 2 or 3 days. These symptoms were not present prior to receiving my vaccination.
Release 11 — 12 months, dose 1
Symptoms: Miscarriage of 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 | Abortion spontaneous | · | · | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Hypomenorrhoea | ✓ | ✓ | ✓ |
| SD | Menstrual clots | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Premenstrual syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release