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2MJ-20216-00548

2 vaccinations 3 coded responses 3 check-ins 3 free-text entries 3 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
445 / OH
Registered
2021-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-12-27
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-30
    Registered in v-safe
  4. 2021-12-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Deep vein thrombosis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: I had a DVT in my left leg 11/6/21 with no known precipitating factors. It was quite extensive including common femoral, anterior/posterior tibial and saphenous veins.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-12-30
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  6. 2021-12-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Deep vein thrombosis, Peripheral swelling, Pruritus, Skin discolouration, Superficial vein thrombosis, Venous thrombosis limb — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Systemic reaction (other): 11/6/21 - DVT in lower left leg with no underlying conditions or medical explanations. extensive clot in femoral vein, exterior and posterior tibial veins and saphenous vein. · Healthcare visit (other): currently taking eliquis and still have swelling, itching and discoloration of lower left leg
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-31
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  8. 2022-01-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Deep vein thrombosis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: 11/6/21 - significant DVT lower left leg, femoral, exterior/interior tibial and saphenous veins. Cause not linked to surgery, known infection, trauma or family history
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-01-02
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  10. 2022-01-03

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Janssen/Johnson & Johnson No
22021-12-27Pfizer-BioNTech No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 2

2021-12-30

Systemic reaction (other): I had a DVT in my left leg 11/6/21 with no known precipitating factors. It was quite extensive including common femoral, anterior/posterior tibial and saphenous veins.

2021-12-31

Systemic reaction (other): 11/6/21 - DVT in lower left leg with no underlying conditions or medical explanations. extensive clot in femoral vein, exterior and posterior tibial veins and saphenous vein.
Healthcare visit (other): currently taking eliquis and still have swelling, itching and discoloration of lower left leg

2022-01-02

Systemic reaction (other): 11/6/21 - significant DVT lower left leg, femoral, exterior/interior tibial and saphenous veins. Cause not linked to surgery, known infection, trauma or family history

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

FieldPreferred term2021-092023-042024-11
HCVOPeripheral swelling · · ✓
HCVOPruritus · · ✓
HCVOSkin discolouration · · ✓
SRODeep vein thrombosis · · ✓
SROSuperficial vein thrombosis · · ✓
SROVenous thrombosis limb · · ✓

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