TKM-56340-31616
1 vaccination
2 coded responses
12 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 618 / IL
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-14
Registered in v-safe
-
2021-03-14
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Pyrexia — Feeling: Fair · Fever · Be unable to do your normal daily activitiesFree text: My husband didnt fill out the stuff to get this form himself, and he started having chills and shivering about 8 hours after the vaccine. He probably had a fever but I didnt take his temp overnight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-28
- 2021-04-06
- 2021-04-11
- 2021-04-19
- 2021-04-27
- 2021-06-13
- 2021-09-13
-
2022-03-14
Survey response — 12 months, dose 1MedDRA: Abortion missed, Abortion spontaneous, Exposure to SARS-CoV-2, Uterine dilation and curettage — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had a d&c for an incomplete miscarriage in December and another miscarriage in early march. My husband also tested positive and was sick with Covid in January (he also got J&J March 14 and November 22 booster, same as me).MedDRA releases: 2024-11 · check-in free text available
-
2022-03-14
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-17
-
2022-03-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-14 | Successful 2022-03-22 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My husband didnt fill out the stuff to get this form himself, and he started having chills and shivering about 8 hours after the vaccine. He probably had a fever but I didnt take his temp overnight.
Release 11 — 12 months, dose 1
Symptoms: Had a d&c for an incomplete miscarriage in December and another miscarriage in early march. My husband also tested positive and was sick with Covid in January (he also got J&J March 14 and November 22 booster, same as me).
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 missed | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release