T69-30606-95012 · OpenVSafe

Timeline

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

2021-04-04
Dose 1 — Janssen/Johnson & Johnson
2021-04-17
Registered in v-safe
2021-04-17
Survey response — day 7, dose 1
MedDRA: Disorientation, Dizziness, Gait disturbance, Neurological symptom — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The day of the shot and also twelve days after I had some neurological symptoms - almost like being intoxicated on marijuana. I felt disoriented, objects in my environment looked different, and it was difficult to walk. I also felt like I was going to faint.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 7, dose 1
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 2 call case(s)
2021-04-25
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 28, single dose
Feeling: Fair

Adult check-in
2021-05-10
Survey response — day 35, single dose
MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Very early miscarriage / chemical pregnancy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 35, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-16
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-05-20
Call 1 — Requested Callback
2021-05-21
Call 2 — Left Voicemail
2021-07-06
Survey response — 3 months, dose 1
MedDRA: Office visit, 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

Free text: Symptoms: Pregnancy · Healthcare visit (other): Regular ob visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-08
Call 1 — Left Voicemail
2022-11-30
Call 1 — Left Voicemail
2022-11-30
Call 1 — Left Voicemail
2022-11-30
Call 3 — Left Voicemail
2022-11-30
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-04	Janssen/Johnson & Johnson

Call center

Reported	Outcome	VAERS-related outcome
2021-04-17	Unsuccessful
2021-04-17	Unsuccessful
2021-05-10	Unsuccessful
2021-07-06	Unsuccessful

Free text

Release 7 — day 7, dose 1

2021-04-17

Systemic reaction (other): The day of the shot and also twelve days after I had some neurological symptoms - almost like being intoxicated on marijuana. I felt disoriented, objects in my environment looked different, and it was difficult to walk. I also felt like I was going to faint.

Release 8 — day 35, single dose

2021-05-10

Symptoms: Very early miscarriage / chemical pregnancy.

Release 9 — 3 months, dose 1

2021-07-06

Symptoms: Pregnancy

Healthcare visit (other): Regular ob visit

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	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Neurological symptom	✓	✓	✓

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