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
-
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
-
2021-08-15
Registered in v-safe
-
2021-09-11
Survey response — 6 months, dose 1MedDRA: 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 consultationFree 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, anxietyMedDRA releases: 2024-11 · check-in free text available
-
2021-09-11
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-14
Call successfulNot applicable - Accidental Reporting
-
2022-02-02
Dose 2 — Janssen/Johnson & Johnson
- 2022-02-08
- 2022-02-10
- 2022-02-18
- 2022-03-04
- 2022-03-09
-
2022-05-04
Survey response — 3 months, dose 2MedDRA: 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 visitFree text: Hip locking and hip pain. Was diagnosed with a labrum tear. and pincer hip.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-04
Report sent to call center — 3 months, dose 2Be 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)
- 2022-05-05
-
2022-08-05
Survey response — 6 months, dose 2MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: High blood pressure/ diagnosed with hypertension · Healthcare visit (other): General practitionerMedDRA releases: 2024-11 · check-in free text available
-
2022-08-05
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-08-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-02-02
Survey response — 12 months, dose 2MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-02-02
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2023-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Janssen/Johnson & Johnson | No |
| 2 | 2022-02-02 | Janssen/Johnson & Johnson | No |
Call center
| Reported | Outcome | VAERS-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
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
Symptoms: Hip locking and hip pain. Was diagnosed with a labrum tear. and pincer hip.
Release 12 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cartilage injury | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Dry skin | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Femoroacetabular impingement | · | · | ✓ |
| SD | Goitre | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Joint lock | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Onychoclasis | · | · | ✓ |
| SD | Thyroiditis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release