SYN-56528-89395
1 vaccination
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 601 / IL
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-14
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-15
Registered in v-safe
-
2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-18
- 2021-04-25
-
2021-06-13
Survey response — 3 months, dose 1MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Pregnancy that ended in miscarriage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-13
Report sent to call center — 3 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 pr1 call case(s)
- 2021-06-15
-
2021-09-12
Survey response — 6 months, dose 1MedDRA: Anembryonic gestation, Cervix carcinoma stage 0, Loop electrosurgical excision procedure — Feeling: GoodFree text: CIN3 cervical cell changes that required LEEP. Blighted Ovum miscarriage.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-13 | Unsuccessful |
Free text
Release 9 — 3 months, dose 1
Symptoms: Pregnancy that ended in miscarriage.
Release 9 — 6 months, dose 1
Symptoms: CIN3 cervical cell changes that required LEEP. Blighted Ovum 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 | Anembryonic gestation | · | · | ✓ |
| SD | Cervix carcinoma stage 0 | · | · | ✓ |
| SD | Loop electrosurgical excision procedure | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release