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WSV-12158-91116

1 vaccination 8 coded responses 14 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
782 / TX
Registered
2021-09-21
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-21
    Registered in v-safe
  2. 2021-09-21
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-09-21
    Survey response — day 0, dose 1
    MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain
    Free text: Numbness to right arm
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-09-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Neck stiffness
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-09-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness
    Adult check-in
  6. 2021-09-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal menstrual clots, Menstruation irregular — Feeling: Fair · Site: Pain, Swelling
    Free text: Menstrual cycle irregularities. Started early and with lots of clots
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-09-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal menstrual clots — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Lots of clotting with menstrual cycle
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-09-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  9. 2021-09-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  10. 2021-09-28
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  11. 2021-10-05
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-10-21
    Health check-in — day 28, single dose
    Feeling: Fair
    Adult check-in
  13. 2021-10-28
    Survey response — day 35, single dose
    MedDRA: Fatigue, Menstruation irregular — Feeling: Fair · Be unable to work or attend school
    Free text: Increased fatigue. Late menstrual and irregular cycle
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-24
    Survey response — 3 months, dose 1
    MedDRA: Cough, Malaise — Feeling: Fair
    Free text: Cough Malaise
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-03-22
    Survey response — 6 months, dose 1
    MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Muscle and joint aches, increased fatigue
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-09-21
    Survey response — 12 months, dose 1
    MedDRA: Fatigue, Sinusitis, Viral infection — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Repeated virus' including sinus infections etc. prolonged fatigue
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-09-21
    Report sent to call center — 12 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
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  18. 2022-09-22

Vaccinations

DoseDateManufacturerCo-administered
12021-09-21Janssen/Johnson & Johnson No

Call center

ReportedOutcomeVAERS-related outcome
2022-09-21 Unsuccessful

Free text

Release 9 — day 0, dose 1

2021-09-21

Systemic reaction (other): Numbness to right arm

Release 9 — days 1–6 daily, dose 1

2021-09-22

Systemic reaction (other): Neck stiffness

2021-09-24

Systemic reaction (other): Menstrual cycle irregularities. Started early and with lots of clots

2021-09-25

Systemic reaction (other): Lots of clotting with menstrual cycle

Release 10 — day 35, single dose

2021-10-28

Symptoms: Increased fatigue. Late menstrual and irregular cycle

Release 10 — 3 months, dose 1

2021-12-24

Symptoms: Cough Malaise

Release 11 — 6 months, dose 1

2022-03-22

Symptoms: Muscle and joint aches, increased fatigue

Release 12 — 12 months, dose 1

2022-09-21

Symptoms: Repeated virus' including sinus infections etc. prolonged fatigue

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
SDArthralgia · · ✓
SDCough · · ✓
SDFatigue · · ✓
SDMalaise · · ✓
SDMenstruation irregular · · ✓
SDMyalgia · · ✓
SDSinusitis · · ✓
SDViral infection · · ✓
SROAbnormal menstrual clots · · ✓
SROHypoaesthesia · · ✓
SROMenstruation irregular · · ✓
SROMusculoskeletal stiffness · · ✓

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

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