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VF3-48170-50763

2 vaccinations 4 coded responses 9 check-ins 3 free-text entries 4 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
985 / WA
Registered
2021-08-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
YKM-21863-46194 Child or adolescent in my care · Female · 2022-02-08

Timeline

  1. 2021-03-13
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-08-15
    Registered in v-safe
  3. 2021-09-11
    Survey response — 6 months, dose 1
    MedDRA: Alopecia, Anxiety, Depression, Dry skin, Dysphonia, Goitre, Muscular weakness, Onychoclasis, Thyroiditis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Thyroiditisforgot to order my thyroid medicine for delivery from my thyroid to my home. So I experienced swollen thyroid, horse voice for 3 weeks, weak nails, hair loss, experienced depression, muscle weakness in raising arms and dry skin, anxiety
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-09-11
    Report sent to call center — 6 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-09-14
    Call successful
    Not applicable - Accidental Reporting
  6. 2022-02-02
    Dose 2 — Janssen/Johnson & Johnson
  7. 2022-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2022-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2022-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2022-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2022-03-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  12. 2022-05-04
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Cartilage injury, Femoroacetabular impingement, Joint lock — 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 visit
    Free text: Hip locking and hip pain. Was diagnosed with a labrum tear. and pincer hip.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-05-04
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  14. 2022-05-05
  15. 2022-08-05
    Survey response — 6 months, dose 2
    MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: High blood pressure/ diagnosed with hypertension · Healthcare visit (other): General practitioner
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-08-05
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2022-08-08
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  18. 2023-02-02
    Survey response — 12 months, dose 2
    MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  19. 2023-02-02
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2023-02-03

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Janssen/Johnson & Johnson No
22022-02-02Janssen/Johnson & Johnson No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-11 Successful
2021-09-14
Not applicable - Accidental Reporting
2022-05-04 Successful Not applicable - Accidental Reporting
2022-08-05 Successful
2022-08-08
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-02 Unsuccessful

Free text

Release 9 — 6 months, dose 1

2021-09-11

Symptoms: Thyroiditisforgot to order my thyroid medicine for delivery from my thyroid to my home. So I experienced swollen thyroid, horse voice for 3 weeks, weak nails, hair loss, experienced depression, muscle weakness in raising arms and dry skin, anxiety

Release 11 — 3 months, dose 2

2022-05-04

Symptoms: Hip locking and hip pain. Was diagnosed with a labrum tear. and pincer hip.

Release 12 — 6 months, dose 2

2022-08-05

Symptoms: High blood pressure/ diagnosed with hypertension
Healthcare visit (other): General practitioner

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
HCVOOffice visit · · ✓
SDAlopecia · · ✓
SDAnxiety · · ✓
SDArthralgia · · ✓
SDCartilage injury · · ✓
SDDepression · · ✓
SDDry skin · · ✓
SDDysphonia · · ✓
SDFemoroacetabular impingement · · ✓
SDGoitre · · ✓
SDHypertension · · ✓
SDJoint lock · · ✓
SDMuscular weakness · · ✓
SDOnychoclasis · · ✓
SDThyroiditis · · ✓

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