KT5-12245-60860
1 vaccination
5 coded responses
16 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 064 / CT
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-30
Survey response — day 0, dose 1MedDRA: Eye pain, Photophobia — Feeling: FairFree text: Slight Eye pain (feels like eye strain) and sensitivity to lightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Eye pain, Eyelid margin crusting, Lacrimation increased, Ocular hyperaemia — Feeling: Fair · HeadacheFree text: Eyes also started watering last night and got bloodshot. Woke up to crusty eyes. Eye pain is gone. Not watering anymore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
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2021-04-13
Survey response — day 14, dose 1MedDRA: Discomfort — Feeling: GoodFree text: Im feeling the weirdness in my left eye like I did after I first got the shot. No light sensitivity though. Feels like a little pressure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 21, single doseMedDRA: Muscle strain, Neck pain, Pain — Feeling: GoodFree text: Pain in my neck. Maybe its just a pulled muscle but its on the front / right and is a new pain to me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-07-01
- 2021-09-30
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2022-03-30
Survey response — 12 months, dose 1MedDRA: Office visit, Pre-existing disease, Ureteral wall thickening, Uterine dilation and curettage, Uterine haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Even though I had an ablation 7 yrs ago - months after my vaccination I started bleeding and my uterine wall was thick. Not sure if it's related. Just had a d and c done. Haven't had issues with this for 7 yrs so · Healthcare visit (other): Obgyn / surgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-03-30
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-30 | Unsuccessful |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Slight Eye pain (feels like eye strain) and sensitivity to light
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Eyes also started watering last night and got bloodshot. Woke up to crusty eyes. Eye pain is gone. Not watering anymore.
Release 7 — day 14, dose 1
Symptoms: Im feeling the weirdness in my left eye like I did after I first got the shot. No light sensitivity though. Feels like a little pressure.
Release 7 — day 21, single dose
Symptoms: Pain in my neck. Maybe its just a pulled muscle but its on the front / right and is a new pain to me.
Release 11 — 12 months, dose 1
Symptoms: Even though I had an ablation 7 yrs ago - months after my vaccination I started bleeding and my uterine wall was thick. Not sure if it's related. Just had a d and c done. Haven't had issues with this for 7 yrs so
Healthcare visit (other): Obgyn / surgery
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Muscle strain | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Ureteral wall thickening | · | · | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SD | Uterine haemorrhage | · | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Eyelid margin crusting | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release