GA8-19773-13160
1 vaccination
9 coded responses
11 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 967 / HI
- Registered
- 2021-09-18
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
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2021-09-16
Dose 1 — Janssen/Johnson & Johnson
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2021-09-18
Registered in v-safe
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2021-09-18
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Vertigo — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Moderate Vertigo/dizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-09-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-20
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Mild itchiness not at injection siteMedDRA releases: 2024-11 · check-in free text available
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2021-09-21
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: ItchinessMedDRA releases: 2024-11 · check-in free text available
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2021-09-22
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: Mild itchinessMedDRA releases: 2024-11 · check-in free text available
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2021-09-23
Survey response — day 7, dose 1MedDRA: Muscle spasms — Feeling: GoodFree text: Cramps in arch of feet at nightMedDRA releases: 2024-11 · check-in free text available
- 2021-09-23
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2021-09-30
Survey response — day 14, dose 1MedDRA: Mood swings — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Terrible mood swingsMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Survey response — day 21, single doseMedDRA: Headache, Heavy menstrual bleeding, Menstrual clots, Mood swings — Feeling: GoodFree text: Low grade headaches, mood swings, heavy menstruation with blood clotsMedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Survey response — day 28, single doseMedDRA: Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Report sent to call center — day 28, single doseGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-17
- 2021-10-28
- 2021-12-16
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2022-03-17
Survey response — 6 months, dose 1MedDRA: Abortion spontaneous, Hypothyroidism — Feeling: Fair · 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: Hypothyroid. Miscarriage.MedDRA releases: 2024-11 · check-in free text available
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2022-03-17
Report sent to call center — 6 months, dose 1Be 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)
- 2022-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-16 | Janssen/Johnson & Johnson | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-18 | Unsuccessful | |
| 2021-10-14 | Unsuccessful | |
| 2022-03-17 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Moderate Vertigo/dizziness
Systemic reaction (other): Mild itchiness not at injection site
Systemic reaction (other): Itchiness
Systemic reaction (other): Mild itchiness
Release 9 — day 7, dose 1
Systemic reaction (other): Cramps in arch of feet at night
Release 9 — day 14, dose 1
Symptoms: Terrible mood swings
Release 10 — day 21, single dose
Symptoms: Low grade headaches, mood swings, heavy menstruation with blood clots
Release 10 — day 28, single dose
Symptoms: Ear infection
Release 11 — 6 months, dose 1
Symptoms: Hypothyroid. 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 | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Hypothyroidism | · | · | ✓ |
| SD | Menstrual clots | · | · | ✓ |
| SD | Mood swings | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release