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PGV-15901-81055

1 vaccination 1 coded response 2 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
752 / TX
Registered
2021-04-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-04-22
    Registered in v-safe
  3. 2021-10-06
    Survey response — 6 months, dose 1
    MedDRA: Abortion spontaneous, Menstrual disorder, Myalgia, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: #NAME? · Healthcare visit (other): Attempted to receive health from my internist. However, he chose to release me as a patient.
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-10-06
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-12-01
  6. 2022-04-08
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Janssen/Johnson & Johnson

Call center

ReportedOutcomeVAERS-related outcome
2021-10-06 Unsuccessful

Free text

Release 10 — 6 months, dose 1

2021-10-06

Symptoms: #NAME?
Healthcare visit (other): Attempted to receive health from my internist. However, he chose to release me as a patient.

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
HCVOUnevaluable event · · ✓
SDAbortion spontaneous · · ✓
SDMenstrual disorder · · ✓
SDMyalgia · · ✓

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