CYS-29612-74408
1 vaccination
3 coded responses
13 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 216 / MD
- Registered
- 2021-05-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-27
Registered in v-safe
-
2021-05-27
Dose 1 — Janssen/Johnson & Johnson
-
2021-05-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-29
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Good · Muscle or body achesFree text: Armpit on right side, shot was in right arm, is sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-30
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Sore armpit on side shot was doneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
- 2021-06-02
- 2021-06-03
- 2021-06-10
- 2021-06-18
- 2021-06-24
- 2021-07-01
- 2021-08-26
- 2021-11-25
-
2022-05-27
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: Pregnancy and miscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-05-27
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)
- 2022-05-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-27 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-27 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Armpit on right side, shot was in right arm, is sore.
Systemic reaction (other): Sore armpit on side shot was done
Release 11 — 12 months, dose 1
Symptoms: Pregnancy and 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 | Axillary pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release