ETT-20357-32508
1 vaccination
2 coded responses
4 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 334 / FL
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-10
Registered in v-safe
-
2021-04-10
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-15
- 2021-04-24
-
2021-05-02
Survey response — day 21, single doseMedDRA: Headache, Pain — Feeling: FairFree text: HeadacheBodyachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-10-09
Survey response — 6 months, dose 1MedDRA: Foetal disorder, High risk pregnancy, Office visit — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: A high risk pregnancy. The baby had several abnormalities not related to genetics as that came back negative · Healthcare visit (other): Obgyn visitsMedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-15
-
2021-10-18
Callback requested for05:00PM ET
-
2021-10-18
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Janssen/Johnson & Johnson |
Call center
1 call center case
1 successful
Free text
Release 8 — day 21, single dose
Symptoms: HeadacheBodyaches
Release 10 — 6 months, dose 1
Symptoms: A high risk pregnancy. The baby had several abnormalities not related to genetics as that came back negative
Healthcare visit (other): Obgyn visits
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Foetal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | High risk pregnancy | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release