V4J-10852-39048 · OpenVSafe

Timeline

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

2021-09-03
Registered in v-safe
2021-09-03
Dose 1 — Janssen/Johnson & Johnson
2021-09-03
Survey response — day 0, dose 1
MedDRA: Dyspnoea, Peripheral swelling, Tachycardia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Tachycardia, Shortness of breathe, slight swelling in legs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-09-10
Survey response — day 7, dose 1
MedDRA: Palpitations — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Survey response — day 21, single dose
MedDRA: Contusion, Peripheral swelling — Feeling: Good

Free text: Random Bruising. Swelling arms/legs that comes and goes.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — day 35, single dose
MedDRA: Anxiety, Dyspnoea, Immediate post-injection reaction, Tic — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath r/t Anxiety which started immediately following Covid vaccine. Intermittently having body ticks of the left side

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Survey response — 6 months, dose 1
MedDRA: No adverse event — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: No.

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-03	Janssen/Johnson & Johnson	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-06	Unsuccessful

Free text

Release 9 — day 0, dose 1

2021-09-03

Systemic reaction (other): Tachycardia, Shortness of breathe, slight swelling in legs

Release 9 — day 7, dose 1

2021-09-10

Systemic reaction (other): Heart palpitations

Release 9 — day 21, single dose

2021-09-24

Symptoms: Random Bruising. Swelling arms/legs that comes and goes.

Release 10 — day 35, single dose

2021-10-08

Symptoms: Shortness of breath r/t Anxiety which started immediately following Covid vaccine. Intermittently having body ticks of the left side

Release 11 — 6 months, dose 1

2022-03-06

Symptoms: No.

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	Anxiety	·	·	✓
SD	Contusion	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Immediate post-injection reaction	·	·	✓
SD	No adverse event	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Tic	·	·	✓
SRO	Dyspnoea	✓	·	✓
SRO	Palpitations	·	·	✓
SRO	Peripheral swelling	✓	·	✓
SRO	Tachycardia	✓	·	✓

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