XAA-89787-82433
1 vaccination
6 coded responses
9 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 460 / IN
- Registered
- 2021-07-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-07-30
Registered in v-safe
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2021-07-30
Dose 1 — Janssen/Johnson & Johnson
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2021-07-30
Survey response — day 0, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-31
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-02
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Mild temporary abdominal painMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-05
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · Fever · Chills, Fatigue or tirednessFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-06
Survey response — day 7, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-13
- 2021-08-20
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2021-09-10
Survey response — day 42, single doseMedDRA: Joint swelling, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swelling in left leg, mostly ankleMedDRA releases: 2024-11 · check-in free text available
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2021-09-10
Report sent to call center — day 42, single doseGet care from a doctor or other healthcare professional1 call case(s)
- 2021-09-14
- 2021-10-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-30 | Janssen/Johnson & Johnson | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-10 | Unsuccessful |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Pregnancy
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Pregnancy
Systemic reaction (other): Mild temporary abdominal pain
Systemic reaction (other): Pregnancy
Release 9 — day 7, dose 1
Systemic reaction (other): Pregnancy
Release 9 — day 42, single dose
Symptoms: Swelling in left leg, mostly ankle
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 |
|---|---|---|---|---|
| SD | Joint swelling | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SRO | Abdominal pain | ✓ | · | ✓ |
| SRO | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release