RN5-72365-75762
1 vaccination
4 coded responses
9 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 930 / CA
- Registered
- 2021-09-17
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-09-13
Dose 1 — Janssen/Johnson & Johnson
-
2021-09-17
Registered in v-safe
-
2021-09-17
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, DiarrheaFree text: Chest pressureMedDRA releases: 2024-11 · check-in free text available
- 2021-09-18
- 2021-09-19
-
2021-09-20
Survey response — day 7, dose 1MedDRA: Oral herpes — Feeling: Good · Site: PainFree text: Cold soreMedDRA releases: 2024-11 · check-in free text available
- 2021-09-27
-
2021-10-04
Survey response — day 21, single doseMedDRA: Aphthous ulcer, Injection site paraesthesia — Feeling: FairFree text: Canker Sore, tingling in my arm below injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-18
-
2021-10-25
Survey response — day 42, single doseMedDRA: Injection site rash, Oral herpes — Feeling: FairFree text: Another cold sore and a rash at the injection siteMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-13 | Janssen/Johnson & Johnson | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Chest pressure
Release 9 — day 7, dose 1
Systemic reaction (other): Cold sore
Release 10 — day 21, single dose
Symptoms: Canker Sore, tingling in my arm below injection site
Release 10 — day 42, single dose
Symptoms: Another cold sore and a rash at the injection site
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 |
|---|---|---|---|---|
| SD | Aphthous ulcer | · | · | ✓ |
| SD | Injection site paraesthesia | · | · | ✓ |
| SD | Injection site rash | · | · | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Oral herpes | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release