XL5-65158-23882
1 vaccination
1 coded response
9 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 208 / MD
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-31
Registered in v-safe
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
-
2021-04-13
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-04-18
- 2021-04-25
- 2021-05-02
- 2021-05-09
-
2021-06-25
Survey response — 3 month, dose 1MedDRA: Appendicectomy, Appendicitis, Delivery — 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, HospitalizationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-25
Report sent to call center — 3 month, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-25 | Unsuccessful |
Free text
Release 9
Symptoms: I had appendicitis on 5/21 (2 months after receiving the vaccine and 3 weeks after childbirth) and had my appendix removed.
Free-text releases are not linked to a specific 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 | Appendicectomy | ✓ | ✓ | ✓ |
| SD | Appendicitis | ✓ | ✓ | ✓ |
| SD | Delivery | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release