UAE-30921-71984 · OpenVSafe

Timeline

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

2021-05-22
Dose 1 — Janssen/Johnson & Johnson
2021-05-23
Registered in v-safe
2021-05-23
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension, Palpitations — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: High blood pressure and heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-26
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: Miscarriage.. not saying its from the vaccine but something that has happened since receiving it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — day 35, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-22	Janssen/Johnson & Johnson

Call center

Reported	Outcome	VAERS-related outcome
2021-06-26	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-23

Systemic reaction (other): High blood pressure and heart palpitations

Release 9 — day 35, single dose

2021-06-26

Symptoms: Miscarriage.. not saying its from the vaccine but something that has happened since receiving it

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	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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