JTD-10650-96494
1 vaccination
4 coded responses
16 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 554 / MN
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-14
Registered in v-safe
-
2021-03-14
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-14
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, NauseaAdult check-in
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Increased resting heart rate overnightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Haemorrhage, Muscle spasms — Feeling: Poor · Nausea, Abdominal painFree text: Might have zero connection to vaccination, but Im experiencing cramping and bleeding.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Abortion spontaneous — Feeling: Poor · Fatigue or tiredness, Abdominal pain · Be unable to workFree text: I experienced a miscarriage. I have no idea if theres any connection at all to my experience with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-19
-
2021-03-19
Call successfulParticipant prefers to complete VAERS report online
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Abdominal painAdult check-in
-
2021-03-21
Health check-in — day 7, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-19
- 2021-04-25
- 2021-06-14
- 2021-09-12
-
2022-03-14
Survey response — 12 months, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: I'm 32 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-15 | Successful | Participant prefers to complete VAERS report online |
| 2021-03-18 | Successful 2021-03-19 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Increased resting heart rate overnight
Systemic reaction (other): Might have zero connection to vaccination, but Im experiencing cramping and bleeding.
Systemic reaction (other): I experienced a miscarriage. I have no idea if theres any connection at all to my experience with the vaccine.
Release 11 — 12 months, dose 1
Symptoms: I'm 32 weeks pregnant
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 | Pregnancy | · | · | ✓ |
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Haemorrhage | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release