XUM-12626-94958
1 vaccination
3 coded responses
12 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 923 / CA
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-29
- 2021-04-01
- 2021-04-02
-
2021-04-05
Survey response — day 7, dose 1MedDRA: Headache — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: I didn't realize to mark these the days before. I had a mild headache for 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-17
-
2021-04-24
Survey response — day 28, single doseMedDRA: Emergency care, Muscle spasms, Muscle strain, Office visit, Sensory disturbance — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a pulling sensation of my heart cavity. Muscle cramps in my legs. I went to urgent care and all of the blood work came back fine so they gave me muscle relaxers.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Report sent to call center — day 28, single doseGet care from a doctor or other healthcare professional1 call case(s)
- 2021-05-01
- 2021-05-10
- 2021-05-20
-
2021-06-28
Survey response — 3 months, dose 1MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I was pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-28
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-29
- 2021-09-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-24 | Unsuccessful | |
| 2021-06-28 | Unsuccessful |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): I didn't realize to mark these the days before. I had a mild headache for 2 days
Release 7 — day 28, single dose
Symptoms: I had a pulling sensation of my heart cavity. Muscle cramps in my legs. I went to urgent care and all of the blood work came back fine so they gave me muscle relaxers.
Release 9 — 3 months, dose 1
Symptoms: I was pregnant
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 | Emergency care | ✓ | ✓ | ○ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Muscle strain | ✓ | ✓ | ○ |
| SD | Office visit | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release