XET-33180-93873
1 vaccination
2 coded responses
11 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 224 / VA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-11
Registered in v-safe
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Eye swelling, Headache, Photosensitivity reaction — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, NauseaFree text: Intermittent stabbing pain in the back of my skull, swollen eyes, photosensitivityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-15
Health check-in — day 7, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-22
- 2021-03-29
- 2021-04-07
- 2021-04-12
- 2021-04-19
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2021-06-07
Survey response — 3 months, dose 1MedDRA: Condition aggravated, Hospitalisation, Pre-existing disease, Pregnancy — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I had a bleeding episode related to my placenta previa condition and spent Friday to Sunday morning in the hospital. Received 4 steroid injections to for fetal lung development as my pregnancy is high-risk due to my age (37) and IVF treatment. Wk 28.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Report sent to call center — 3 months, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-07 | Successful 2021-06-10 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Intermittent stabbing pain in the back of my skull, swollen eyes, photosensitivity
Release 8 — 3 months, dose 1
Symptoms: I had a bleeding episode related to my placenta previa condition and spent Friday to Sunday morning in the hospital. Received 4 steroid injections to for fetal lung development as my pregnancy is high-risk due to my age (37) and IVF treatment. Wk 28. cut off by CDC
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Photosensitivity reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release