5JP-10554-52095
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 603 / IL
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-13
Registered in v-safe
-
2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Spider vein — Feeling: Good · Site: PainFree text: I have minor spider veins that Im keeping an eye on given the news about the Janssen vaccine but Im not too concerned about that right nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
-
2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort, Pain in extremity, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Im feeling some pressure/slight pain in my left calf since last night. Im sure its nothing but I have an appointment tomorrow with my PCP just to be safe and get it checked out. · Healthcare visit (other): Visit to my PCP scheduled for tomorrow. Called today to make the appointment. Would have gone today if they had room for me. I am not overly concerned (just being cautious) so happy to go tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-16
- 2021-04-17
- 2021-04-21
- 2021-04-24
-
2021-05-01
Survey response — day 21, single doseMedDRA: Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Headache that lasted several days and got progressively worse, then better, then worse again, then better, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Report sent to call center — day 21, single doseGet care from a doctor or other healthcare professional1 call case(s)
- 2021-05-08
- 2021-05-14
- 2021-05-15
- 2021-05-22
- 2021-07-10
- 2021-10-09
-
2021-10-24
Dose 2 — Pfizer-BioNTech
- 2021-11-01
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
- 2022-04-24
- 2022-10-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-24 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I have minor spider veins that Im keeping an eye on given the news about the Janssen vaccine but Im not too concerned about that right now
Systemic reaction (other): Im feeling some pressure/slight pain in my left calf since last night. Im sure its nothing but I have an appointment tomorrow with my PCP just to be safe and get it checked out.
Healthcare visit (other): Visit to my PCP scheduled for tomorrow. Called today to make the appointment. Would have gone today if they had room for me. I am not overly concerned (just being cautious) so happy to go tomorrow.
Release 8 — day 21, single dose
Symptoms: Headache that lasted several days and got progressively worse, then better, then worse again, then better, etc.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Spider vein | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release