MTE-22580-23695
1 vaccination
2 coded responses
12 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 190 / PA
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Registered in v-safe
-
2021-04-10
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-10
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-05-01
- 2021-05-08
- 2021-05-17
-
2021-07-12
Survey response — 3 months, dose 1MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend schoolFree text: I had a miscarriage in my first trimester. I didn't know I was pregnant when I had and registered for the covid vxMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-10-09
Survey response — 6 months, dose 1MedDRA: Abortion spontaneous, Pregnancy — Feeling: Fair · 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 consultationFree text: Was early pregnancy when received the vaccine. Didn't know at the time and had a miscarriageMedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-09 | Unsuccessful |
Free text
Release 9 — 3 months, dose 1
Symptoms: I had a miscarriage in my first trimester. I didn't know I was pregnant when I had and registered for the covid vx
Release 10 — 6 months, dose 1
Symptoms: Was early pregnancy when received the vaccine. Didn't know at the time and had a miscarriage
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 | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release