D6Z-16436-28518
1 vaccination
2 coded responses
4 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 483 / MI
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-08
Registered in v-safe
-
2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Lower back pain, kidney areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activitiesno matching call case
- 2021-04-09
- 2021-07-05
-
2021-10-04
Survey response — 6 months, dose 1MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2021-10-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-04 | Unsuccessful |
1 report(s) with no call case — see the timeline.
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Lower back pain, kidney area
Release 10 — 6 months, dose 1
Symptoms: 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 | Back pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release