5BA-26483-38327
3 vaccinations
6 coded responses
35 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 985 / WA
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash erythematous — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash is on inner leg side of where knee bends. Noticed it on 3/15/21 after v-safe check in. Rash is a circle (1" diameter) with small red spots inside. Appears to be better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Same 1" diameter on inside left knee as reported yesterday. Slightly fading today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Same as reported earlier still fadingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Survey response — day 35, single doseMedDRA: Joint swelling, Peripheral swelling — Feeling: GoodFree text: Swollen right ankle & leg.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-09-10
-
2021-10-25
Dose 2 — Janssen/Johnson & Johnson
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-25
Survey response — 6 months, dose 2MedDRA: Arthralgia, Contusion, Fall, Joint injury, Ligament rupture, Office visit, Physiotherapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Fell on my knee. Nothing broken but very bruised & sore. ACL injury. · Healthcare visit (other): Dr & PT in- person visitsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-26
Call successfulNot applicable - Accidental Reporting
-
2022-06-16
Dose 3 — Moderna
- 2022-06-20
- 2022-06-21
- 2022-06-22
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-07-14
- 2022-07-21
-
2023-06-18
Survey response — 12 months, dose 3MedDRA: Lymphoedema — Feeling: Fair · 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 visit, Emergency room or emergency department visitMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Janssen/Johnson & Johnson | No |
| 3 | 2022-06-16 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Rash is on inner leg side of where knee bends. Noticed it on 3/15/21 after v-safe check in. Rash is a circle (1" diameter) with small red spots inside. Appears to be better today.
Systemic reaction (other): Same 1" diameter on inside left knee as reported yesterday. Slightly fading today.
Systemic reaction (other): Same as reported earlier still fading
Release 7 — day 35, single dose
Symptoms: Swollen right ankle & leg.
Release 11 — 6 months, dose 2
Symptoms: Fell on my knee. Nothing broken but very bruised & sore. ACL injury.
Healthcare visit (other): Dr & PT in- person visits
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 | Office visit | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Joint injury | · | · | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Ligament rupture | · | · | ✓ |
| SD | Lymphoedema | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release