ZMM-13739-09713
1 vaccination
7 coded responses
11 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 480 / MI
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-10
Registered in v-safe
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2021-04-10
Dose 1 — Janssen/Johnson & Johnson
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2021-04-10
Survey response — day 0, dose 1MedDRA: Heart rate increased — Feeling: GoodFree text: Rapid heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Epistaxis — Feeling: Good · Site: ItchingFree text: NosebleedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Menstruation irregular — Feeling: Fair · Site: SwellingFree text: My period is two weeks earlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — day 7, dose 1MedDRA: Polymenorrhoea — Feeling: GoodFree text: period early for two weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
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2021-05-08
Survey response — day 28, single doseMedDRA: Epistaxis — Feeling: FairFree text: Nose BleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — day 35, single doseMedDRA: Epistaxis — Feeling: FairFree text: Nose bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-12
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2021-10-11
Survey response — 6 months, dose 1MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Menses irregular. Bleeding for 14 daysMedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-18
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Janssen/Johnson & Johnson |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-11 | Successful 2021-10-18 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Rapid heart rate
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Nosebleed
Systemic reaction (other): My period is two weeks early
Release 7 — day 7, dose 1
Systemic reaction (other): period early for two weeks
Release 8 — day 28, single dose
Symptoms: Nose Bleeding
Release 8 — day 35, single dose
Symptoms: Nose bleeding
Release 10 — 6 months, dose 1
Symptoms: Menses irregular. Bleeding for 14 days
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 | Epistaxis | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Polymenorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release