GJR-39888-74487
1 vaccination
3 coded responses
9 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 937 / CA
- Registered
- 2021-07-13
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Registered dependents
S5D-23229-74174
Child or adolescent in my care · Female · 2021-07-13
9YU-18151-90409
Child or adolescent in my care · Female · 2021-07-13
V9N-22888-72710
Adult relative or friend · Male · 2021-07-13
Timeline
-
2021-07-12
Dose 1 — Janssen/Johnson & Johnson
-
2021-07-13
Registered in v-safe
-
2021-07-13
Survey response — days 1–6 daily, dose 1MedDRA: Abortion spontaneous, Vaginal haemorrhage — Feeling: Fair · Fever · Muscle or body aches, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Miscarriage (began bleeding 3 days after getting vaccinated)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-07-19
- 2021-07-27
- 2021-08-02
-
2021-08-11
Survey response — day 28, single doseMedDRA: Chills, Cough, Fatigue, Headache, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headache fever chills Entire body achesCoughFatigueMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-18
-
2021-08-24
Survey response — day 42, single doseMedDRA: Chills, Cough, Fatigue, Pain, Pyrexia, Unevaluable event — 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 professionalFree text: Achy body fever chills cough fatigueMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-24
Report sent to call center — day 42, single doseBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-25
- 2021-08-30
- 2021-10-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-12 | Janssen/Johnson & Johnson | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-24 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Miscarriage (began bleeding 3 days after getting vaccinated)
Release 9 — day 28, single dose
Symptoms: Headache fever chills Entire body achesCoughFatigue
Release 9 — day 42, single dose
Symptoms: Achy body fever chills cough fatigue
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Chills | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release