URC-30295-27782 · OpenVSafe

Timeline

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

2021-04-30
Registered in v-safe
2021-04-30
Dose 1 — Janssen/Johnson & Johnson
2021-04-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 1
MedDRA: Lip pain, Oral pain — Feeling: Good · Site: Pain

Free text: My mouth / lips periodically feel sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Muscle or body aches

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

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

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-14
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-21
Survey response — day 21, single dose
MedDRA: Breast pain, Oligomenorrhoea — Feeling: Fair

Free text: Breast discharge from right breast. Missing / Late menstrual cycle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 28, single dose
MedDRA: Breast discharge, Breast mass, Mammogram, Mammogram abnormal, Unevaluable event — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Dense mass observed during mammogram on upper outer quadrant of right breast following breast discharge on 5/18/21. · Healthcare visit (other): mammogram

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 28, single dose
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Call successful
Does not wish to fill out VAERS report
2021-06-05
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-30
Survey response — 3 months, dose 1
MedDRA: Breast discharge, Pain, Unevaluable event — 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 · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Breast discharge & traveling radiating pain. Mammogram, Ultrasound & labs all clear since initial incident after my vaccine. First discharge 5/18/21, second incident 7/26/21. · Healthcare visit (other): Seeing specialist next week

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
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)
2021-08-03
Call successful
Does not wish to fill out VAERS report
2021-10-31
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-05-01
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-30	Janssen/Johnson & Johnson

Call center

Reported	Outcome	VAERS-related outcome
2021-05-28	Successful 2021-06-02	Does not wish to fill out VAERS report
2021-07-30	Successful 2021-08-03	Does not wish to fill out VAERS report

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-01

Systemic reaction (other): My mouth / lips periodically feel sore.

Release 8 — day 21, single dose

2021-05-21

Symptoms: Breast discharge from right breast. Missing / Late menstrual cycle.

Release 8 — day 28, single dose

2021-05-28

Symptoms: Dense mass observed during mammogram on upper outer quadrant of right breast following breast discharge on 5/18/21.

Healthcare visit (other): mammogram

Release 9 — 3 months, dose 1

2021-07-30

Symptoms: Breast discharge & traveling radiating pain. Mammogram, Ultrasound & labs all clear since initial incident after my vaccine. First discharge 5/18/21, second incident 7/26/21.

Healthcare visit (other): Seeing specialist next week

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	Mammogram	○	✓	○
HCVO	Unevaluable event	✓	✓	✓
SD	Breast discharge	✓	✓	✓
SD	Breast mass	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Mammogram	○	✓	○
SD	Mammogram abnormal	✓	✓	✓
SD	Oligomenorrhoea	✓	✓	✓
SD	Pain	✓	·	✓
SRO	Lip pain	✓	✓	✓
SRO	Oral pain	✓	✓	✓

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