CEB-21502-15785
1 vaccination
2 coded responses
2 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 160 / PA
- Registered
- 2021-11-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-13
Dose 1 — Janssen/Johnson & Johnson
-
2021-11-14
Registered in v-safe
-
2021-11-14
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Pain — Feeling: GoodFree text: I had aches and chills the day I received the vaccine, 11/13/21.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-13
Survey response — day 28, single doseMedDRA: Abortion spontaneous — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had a miscarriage.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-13
Report sent to call center — day 28, single doseBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-12-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-13 | Janssen/Johnson & Johnson | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-13 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): I had aches and chills the day I received the vaccine, 11/13/21.
Release 10 — day 28, single dose
Symptoms: I had a miscarriage.
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 | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release