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VDJ-24289-93876

2 vaccinations 2 coded responses 31 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
212 / MD
Registered
2021-03-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
5SY-17156-35687 Child or adolescent in my care · Female · 2022-06-22
YXV-33342-89235 Child or adolescent in my care · Male · 2022-07-12

Timeline

  1. 2021-03-08
    Registered in v-safe
  2. 2021-03-08
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-08
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal, Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Stiffness (neck), foggy feeling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-29
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  13. 2021-04-05
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  14. 2021-04-12
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  15. 2021-04-19
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  16. 2021-06-07
    Survey response — 3 months, dose 1
    MedDRA: Blindness transient, Immediate post-injection reaction, Photopsia, Pregnancy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Temporary vision loss (~10 minutes with lightning in my vision in my left eye) on May 30 (37 weeks pregnant). My blood pressure and baby are fine. I dont have pre-eclampsia and no retinal/vitreal detachment apparent.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-07
    Report sent to call center — 3 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-06-09
  19. 2021-09-06
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  20. 2021-11-11
    Dose 2 — Moderna
  21. 2021-11-11
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  22. 2021-11-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  23. 2021-11-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  24. 2021-11-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  25. 2021-11-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  26. 2021-11-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  27. 2021-11-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  28. 2021-11-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  29. 2021-11-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-12-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-12-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  32. 2021-12-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  33. 2021-12-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  34. 2022-02-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  35. 2022-05-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  36. 2022-11-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Janssen/Johnson & Johnson
22021-11-11Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-06-07 Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Stiffness (neck), foggy feeling

Release 8 — 3 months, dose 1

2021-06-07

Symptoms: Temporary vision loss (~10 minutes with lightning in my vision in my left eye) on May 30 (37 weeks pregnant). My blood pressure and baby are fine. I dont have pre-eclampsia and no retinal/vitreal detachment apparent.

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

FieldPreferred term2021-092023-042024-11
SDBlindness transient ✓ ✓ ✓
SDImmediate post-injection reaction ✓ ✓ ✓
SDPhotopsia ✓ ✓ ✓
SDPregnancy ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓

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