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LE9-23298-43546

1 vaccination 1 coded response 2 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
535 / WI
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-03-18
    Registered in v-safe
  3. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-19
    Survey response — day 35, single dose
    MedDRA: Chills, Fatigue, Pregnancy, Pyrexia — Feeling: Good
    Free text: Miscarriage that was 2 weeks after vaccination date (vaccinated on 3/13/21 and miscarried on 3/29/2021). I was 5 weeks and 4 days pregnant. No other health issues. Did have fever, chills, fatigue for 24 hrs on 3/13 and 3/14, but felt fine otherwise.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Janssen/Johnson & Johnson

Free text

Release 7 — day 35, single dose

2021-04-19

Symptoms: Miscarriage that was 2 weeks after vaccination date (vaccinated on 3/13/21 and miscarried on 3/29/2021). I was 5 weeks and 4 days pregnant. No other health issues. Did have fever, chills, fatigue for 24 hrs on 3/13 and 3/14, but felt fine otherwise. cut off by CDC

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
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDPregnancy ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓

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