YYG-17019-25414
1 vaccination
2 coded responses
7 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 042 / ME
- Registered
- 2021-10-14
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-10-14
Registered in v-safe
-
2021-10-14
Dose 1 — Janssen/Johnson & Johnson
-
2021-10-15
Survey response — days 1–6 daily, dose 1MedDRA: Oral pain, Unevaluable event — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My mouth hurts. Gum lineMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
-
2021-11-04
Survey response — day 21, single doseMedDRA: Adverse reaction, Facial pain, Feeling hot, Headache, Office visit, Pain, Skin warm, Subcutaneous abscess — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have an abscess on the left side of my face that is hot. And it hurts to eat or do much talking or anything. I feel hot to the touch maybe warm to the touch to be honest. My head hurts my body is a little achy · Healthcare visit (other): I saw my PCP yesterday and was giving clindamycin for it I started it yesterday and I take two at a time three times total a day so six all in one dayMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Report sent to call center — day 21, single doseBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-05
Call successfulDoes not wish to fill out VAERS report
- 2021-11-18
- 2021-11-25
- 2022-01-13
- 2022-04-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-14 | Janssen/Johnson & Johnson | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-04 | Successful 2021-11-05 |
Does not wish to fill out VAERS report |
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): My mouth hurts. Gum line
Release 10 — day 21, single dose
Symptoms: I have an abscess on the left side of my face that is hot. And it hurts to eat or do much talking or anything. I feel hot to the touch maybe warm to the touch to be honest. My head hurts my body is a little achy
Healthcare visit (other): I saw my PCP yesterday and was giving clindamycin for it I started it yesterday and I take two at a time three times total a day so six all in one day
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 |
|---|---|---|---|---|
| HCVO | Adverse reaction | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Facial pain | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Skin warm | · | · | ✓ |
| SD | Subcutaneous abscess | · | · | ✓ |
| SRO | Oral pain | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release