XKM-20808-88187 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-05
Dose 1 — Janssen/Johnson & Johnson
2021-03-24
Registered in v-safe
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-05
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-03-07
Survey response — 12 months, dose 1
MedDRA: Abortion spontaneous, Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: 2 miscarriages Covid symptoms in Jan, husband was positive, I tested negative

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
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

Emergency room or emergency department visit · 1 call case(s)
2022-03-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Janssen/Johnson & Johnson

Call center

Reported	Outcome	VAERS-related outcome
2022-03-07	Successful 2022-03-09	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 11 — 12 months, dose 1

2022-03-07

Symptoms: 2 miscarriages Covid symptoms in Jan, husband was positive, I tested negative

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	Abortion spontaneous	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Malaise	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓

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