Q9D-12062-78755
1 vaccination
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 540 / WI
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-03
Registered in v-safe
-
2021-04-03
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body achesAdult check-in
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesFree text: Pain and swelling in armpit on same side I received vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, SwellingFree text: Swollen/minor pain in armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Pain in armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-10
- 2021-04-17
- 2021-04-26
- 2021-05-01
- 2021-05-10
- 2021-05-15
- 2021-07-03
- 2021-10-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Janssen/Johnson & Johnson |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Pain and swelling in armpit on same side I received vaccine
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen/minor pain in armpit
Systemic reaction (other): Pain in armpit
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 |
|---|---|---|---|---|
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release