JAF-21147-76932

1 vaccination 6 coded responses 13 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 945 / CA
Registered: 2021-09-11

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1779582 (opens in a new window)	high	9 / 11	—	2 of 10 VAERS symptoms	same dose (1)	CA matches	2021-09-10 / 2021-09-11 / 2021-10-12 received the same day as the last call	case 1075761

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-09-10
Dose 1 — Janssen/Johnson & Johnson
2021-09-11
Registered in v-safe
2021-09-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Muscle spasms — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness, head, neck and back spasms

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Adult check-in
2021-09-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Diarrhea, Abdominal pain

Adult check-in
2021-09-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-09-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-09-17
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-09-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-10-01
Survey response — day 21, single dose
MedDRA: Abdominal pain, Abortion spontaneous, Vaginal haemorrhage — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Abdominal pain got severe and now having vaginal bleeding. Pregnancy loss.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — day 21, single dose
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-08
Survey response — day 28, single dose
MedDRA: Abdominal pain, Abortion spontaneous — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Abdominal pain, pregnancy loss.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — day 28, single dose
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-12
Call successful
Completed over the phone
2021-10-15
Survey response — day 35, single dose
MedDRA: Migraine, Muscle spasms — Feeling: Good

Free text: Migranes. Slight spasms on back of neck.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-12-10
Survey response — 3 months, dose 1
MedDRA: Cough, Migraine, Muscle spasms, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough sore throat migraines and back spasms

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Survey response — 6 months, dose 1
MedDRA: COVID-19, Dyspnoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Contracted Covid 1/11/2022 and SOB 2/14/2022 lasted 2 weeks

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-10	Janssen/Johnson & Johnson	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-01	Successful	Completed over the phone
2021-10-08	Successful 2021-10-12	Completed over the phone
2022-03-11	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-11

Systemic reaction (other): Dizziness, head, neck and back spasms

Release 9 — day 21, single dose

2021-10-01

Symptoms: Abdominal pain got severe and now having vaginal bleeding. Pregnancy loss.

Release 10 — day 28, single dose

2021-10-08

Symptoms: Abdominal pain, pregnancy loss.

Release 10 — day 35, single dose

2021-10-15

Symptoms: Migranes. Slight spasms on back of neck.

Release 10 — 3 months, dose 1

2021-12-10

Symptoms: Cough sore throat migraines and back spasms

Release 11 — 6 months, dose 1

2022-03-11

Symptoms: Contracted Covid 1/11/2022 and SOB 2/14/2022 lasted 2 weeks

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	Abdominal pain	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Migraine	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Vaginal haemorrhage	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Muscle spasms	·	·	✓

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