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GVZ-13069-70975

1 vaccination 2 coded responses 6 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
633 / MO
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Registered in v-safe
  2. 2021-04-06
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-04-06
    Health check-in — day 0, dose 1
    Feeling: Fair · Fever · Fatigue or tiredness
    Adult check-in
  4. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-07-08
    Survey response — 3 months, dose 1
    MedDRA: Abortion spontaneous — Feeling: Good
    Free text: I lost a baby at 20w pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-10-05
    Survey response — 6 months, dose 1
    MedDRA: Abortion spontaneous, Thrombosis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I miscarried my son at 20w and I believe it was due to blood clots which I'm now diagnosed with.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Janssen/Johnson & Johnson

Free text

Release 9 — 3 months, dose 1

2021-07-08

Symptoms: I lost a baby at 20w pregnant

Release 10 — 6 months, dose 1

2021-10-05

Symptoms: I miscarried my son at 20w and I believe it was due to blood clots which I'm now diagnosed with.

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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous ✓ ✓ ✓
SDThrombosis · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release