PCB-25062-81570

1 vaccination 9 coded responses 13 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 672 / KS
Registered: 2021-05-14

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-14
Registered in v-safe
2021-05-14
Dose 1 — Janssen/Johnson & Johnson
2021-05-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizzy, light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Pain in extremity, Self-medication, Swelling — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Pinpoint pain in left, lateral, superficial thigh along a vein with a bump and some swelling, concerned of blood clot, started taking aspirin. · Healthcare visit (other): Work at a SNF, consulted nurses and physician at work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Survey response — days 1–6 daily, dose 1
MedDRA: Self-medication, Tenderness, Thrombosis — Feeling: Fair · Site: Pain · Headache, Joint pains

Free text: Blood clot in left leg getting better with Aspirin, still a little tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — days 1–6 daily, dose 1
MedDRA: Self-medication, Thrombosis — Feeling: Good · Site: Pain

Free text: Still taking aspirin to treat blood clot, felt similar pain start in inner left arm starting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Still taking aspirin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — day 14, dose 1
MedDRA: Arthralgia, Pain, Self-medication, Thrombosis — Feeling: Fair

Free text: Random joint aches. Tried to stop taking the aspirin for a few days and the pain from the blood clot started coming back so had to start taking it again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Call 2 — Left Voicemail
2021-06-06
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-06-12
Survey response — day 28, single dose
MedDRA: Headache — Feeling: Fair

Free text: Worsening headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-06-27
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-08-15
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-11-12
Survey response — 6 months, dose 1
MedDRA: Migraine, Office visit, Self-medication, Thrombosis, Vascular pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Still having blood clot/pain in veins symptoms and migraines. I've had to seek help from my primary doctor and having to take low dose aspirin daily now.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-15
Call 2 — Left Voicemail
2022-05-14
Survey response — 12 months, dose 1
MedDRA: Office visit, Self-medication, Vascular pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I still have to take aspirin every other day to control pain in my veins that started when I got the vaccine. Had to go through multiple tests to rule out blood clots because the pain kept getting worse, the doctor still can't figure it out.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-14	Janssen/Johnson & Johnson

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-15

Systemic reaction (other): Dizzy, light headed

2021-05-17

Systemic reaction (other): Pinpoint pain in left, lateral, superficial thigh along a vein with a bump and some swelling, concerned of blood clot, started taking aspirin.

Healthcare visit (other): Work at a SNF, consulted nurses and physician at work.

2021-05-18

Systemic reaction (other): Blood clot in left leg getting better with Aspirin, still a little tender.

2021-05-19

Systemic reaction (other): Still taking aspirin to treat blood clot, felt similar pain start in inner left arm starting.

2021-05-20

Systemic reaction (other): Still taking aspirin

Release 8 — day 14, dose 1

2021-05-30

Symptoms: Random joint aches. Tried to stop taking the aspirin for a few days and the pain from the blood clot started coming back so had to start taking it again.

Release 9 — day 28, single dose

2021-06-12

Symptoms: Worsening headaches

Release 10 — 6 months, dose 1

2021-11-12

Symptoms: Still having blood clot/pain in veins symptoms and migraines. I've had to seek help from my primary doctor and having to take low dose aspirin daily now.

Release 11 — 12 months, dose 1

2022-05-14

Symptoms: I still have to take aspirin every other day to control pain in my veins that started when I got the vaccine. Had to go through multiple tests to rule out blood clots because the pain kept getting worse, the doctor still can't figure it out.

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	Medical counselling	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SD	Vascular pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Thrombosis	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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