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H64-12507-14583

1 vaccination 1 coded response 7 check-ins 1 free-text entry 2 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
840 / UT
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-03-10
    Registered in v-safe
  3. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work
    Adult check-in
  4. 2021-03-10
  5. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-31
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  8. 2021-04-05
    Survey response — day 28, single dose
    MedDRA: Diarrhoea, Medical counselling, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Vomiting, diarrhea lasting 3 days · Healthcare visit (other): Phone call to on-call midwife
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-05
    Report sent to call center — day 28, single dose
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-04-06
  11. 2021-04-06
    Call successful
    Does not wish to fill out VAERS report
  12. 2021-09-06
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  13. 2022-03-08
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Janssen/Johnson & Johnson

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 6 — day 28, single dose

2021-04-05

Symptoms: Vomiting, diarrhea lasting 3 days
Healthcare visit (other): Phone call to on-call midwife

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
HCVOMedical counselling ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDVomiting ✓ ✓ ✓

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