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CMW-51194-31116

1 vaccination 2 coded responses 3 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
630 / MO
Registered
2021-03-30
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-03-30
    Registered in v-safe
  3. 2021-03-30
    Survey response — day 21, single dose
    MedDRA: Asthenia, Dizziness, Fatigue, Impaired work ability — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: I felt suddnely very tired, weak and dizzysame day about 5 hours after the shot, leaving work early and went back to work next day just fine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-06
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  5. 2021-04-15
    Survey response — day 35, single dose
    MedDRA: Biopsy, Menopause, Menstruation irregular, Postmenopausal haemorrhage, Unevaluable event, Uterine dilation and curettage — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: I didn't have a period for 7 years prior to this vaccine. I was in menopause. One week later I started my full blown period cycle. It is now 2 months later and I just got a 2nd period. I didnt tie together until recent news. Its all irregular bl · Healthcare visit (other): Biopsy D&C
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-15
    Report sent to call center — day 35, single dose
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-05-24

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Janssen/Johnson & Johnson

Call center

ReportedOutcomeVAERS-related outcome
2021-04-15 Unsuccessful

Free text

Release 6 — day 21, single dose

2021-03-30

Symptoms: I felt suddnely very tired, weak and dizzysame day about 5 hours after the shot, leaving work early and went back to work next day just fine

Release 7 — day 35, single dose

2021-04-15

Symptoms: I didn't have a period for 7 years prior to this vaccine. I was in menopause. One week later I started my full blown period cycle. It is now 2 months later and I just got a 2nd period. I didnt tie together until recent news. Its all irregular bl
Healthcare visit (other): Biopsy D&C

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

FieldPreferred term2021-092023-042024-11
HCVOBiopsy ○ ✓ ○
HCVOUnevaluable event ✓ ✓ ✓
HCVOUterine dilation and curettage ○ ✓ ○
SDAsthenia ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDMenopause ○ ✓ ○
SDMenstruation irregular ○ ✓ ○
SDPostmenopausal haemorrhage ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release