KM4-27141-33113
3 vaccinations
6 coded responses
27 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 200 / DC
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-13
Registered in v-safe
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2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
-
2021-10-08
Survey response — 6 months, dose 1MedDRA: Abortion spontaneous — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Missed miscarriageMedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-25
Dose 2 — Pfizer-BioNTech
- 2021-11-01
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2021-11-08
Survey response — day 14, dose 2MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I forgot to mention on my last check in that I experienced a missed miscarriage in September (before my booster dose).MedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-08
- 2021-11-10
- 2021-11-15
- 2021-11-15
-
2021-11-15
Callback requested for12:00PM ET
-
2021-11-18
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-22
-
2021-11-29
Survey response — day 35, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2022-01-26
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2022-04-27
Survey response — 6 months, dose 2MedDRA: Nasal congestion, Oropharyngeal pain, Pre-existing disease, Pregnancy, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, runny and stuffy nose (likely spring allergies) Nausea and fatigue (likely linked to current pregnancy)MedDRA releases: 2024-11 · check-in free text available
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2022-09-23
Dose 3 — Pfizer-BioNTech
- 2022-10-05
- 2022-10-07
-
2022-10-16
Survey response — day 21, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: GoodFree text: Sore throat and mild coughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-12-23
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2023-03-24
Survey response — 6 months, dose 3MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Pfizer-BioNTech | No |
| 3 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-08 | Unsuccessful | |
| 2021-11-08 | Successful 2021-11-18 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — 6 months, dose 1
Symptoms: Missed miscarriage
Release 10 — day 14, dose 2
Symptoms: I forgot to mention on my last check in that I experienced a missed miscarriage in September (before my booster dose).
Release 10 — day 35, dose 2
Symptoms: Sore throat
Release 11 — 6 months, dose 2
Symptoms: Sore throat, runny and stuffy nose (likely spring allergies) Nausea and fatigue (likely linked to current pregnancy)
Release 12 — day 21, dose 3
Symptoms: Sore throat and mild cough
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 | Abortion spontaneous | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release