SE4-49912-22658 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Janssen/Johnson & Johnson
2021-03-31
Survey response — day 0, dose 1
MedDRA: Headache, Pain in extremity — Feeling: Fair

Free text: Very slight headache, mild soreness in injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 35, single dose
MedDRA: Abortion spontaneous, Office visit, Pregnancy, Pregnancy test positive — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I found out that I was pregnant with a home pregnancy test on April 1, 2021 (the day after receiving the vaccine). The pregnancy was confirmed via blood test at my OBGYN & 2 weeks later on April 15th (at about 7 weeks along) I miscarried. · Healthcare visit (other): OBGYN and hospital ultrasound

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 35, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Janssen/Johnson & Johnson

Call center

Reported	Outcome	VAERS-related outcome
2021-05-05	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Very slight headache, mild soreness in injection arm

Release 8 — day 35, single dose

2021-05-05

Symptoms: I found out that I was pregnant with a home pregnancy test on April 1, 2021 (the day after receiving the vaccine). The pregnancy was confirmed via blood test at my OBGYN & 2 weeks later on April 15th (at about 7 weeks along) I miscarried.

Healthcare visit (other): OBGYN and hospital ultrasound

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	Abortion spontaneous	✓	✓	✓
SD	Pregnancy	✓	✓	✓
SD	Pregnancy test positive	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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