392-92416-66676
3 vaccinations
7 coded responses
35 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 982 / WA
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-24
Registered in v-safe
-
2021-04-24
Dose 1 — Pfizer-BioNTech
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-30
- 2021-05-01
-
2021-05-08
Survey response — day 14, dose 1MedDRA: Haematoma — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Massive hematoma that covers the entire backside of my left arm where I had the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-22
-
2021-05-29
Survey response — day 35, dose 1MedDRA: Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-03
Dose 2 — Pfizer-BioNTech
-
2021-06-05
Survey response — days 1–6 daily, dose 2MedDRA: Somnolence — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The day after I got the shot I slept all day(yesterday)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
- 2021-06-07
- 2021-06-08
- 2021-06-09
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-07-01
- 2021-07-15
- 2021-09-04
-
2021-12-02
Survey response — 6 months, dose 2MedDRA: Unevaluable event — Feeling: FairFree text: Nothing related to the vaccine or COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-01-09
Dose 3 — Pfizer-BioNTech
- 2022-01-10
- 2022-01-12
- 2022-01-13
- 2022-01-14
- 2022-01-15
- 2022-01-18
-
2022-01-23
Survey response — day 14, dose 3MedDRA: Headache, Office visit, Oxygen saturation decreased, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Last Wednesday I had a slight fever, headache and low blood oxygen levels. · Healthcare visit (other): Just a yearly check upMedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-27
-
2022-01-30
Survey response — day 21, dose 3MedDRA: Haematoma, Hospitalisation, Spontaneous haemorrhage, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: It doesn't have anything to do with the vaccine though. I am hospitalized for many (3) hematomas in my him. I am on blood thinners and had a spontaneous bleed so my answers are related to this.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-30
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-01-31
-
2022-02-06
Survey response — day 28, dose 3MedDRA: Haematoma, Hospitalisation — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Hospitalized for 3 hematomas in my left hip, not a reaction from getting the vaccine. I am on blood thinnersMedDRA releases: 2024-11 · check-in free text available
- 2022-02-13
- 2022-02-20
- 2022-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-24 | Pfizer-BioNTech | |
| 2 | 2021-06-03 | Pfizer-BioNTech | |
| 3 | 2022-01-09 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — day 14, dose 1
Symptoms: Massive hematoma that covers the entire backside of my left arm where I had the shot
Release 8 — day 35, dose 1
Symptoms: Fever
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): The day after I got the shot I slept all day(yesterday)
Release 10 — 6 months, dose 2
Symptoms: Nothing related to the vaccine or COVID
Release 11 — day 14, dose 3
Symptoms: Last Wednesday I had a slight fever, headache and low blood oxygen levels.
Healthcare visit (other): Just a yearly check up
Release 11 — day 21, dose 3
Symptoms: It doesn't have anything to do with the vaccine though. I am hospitalized for many (3) hematomas in my him. I am on blood thinners and had a spontaneous bleed so my answers are related to this.
Release 11 — day 28, dose 3
Symptoms: Hospitalized for 3 hematomas in my left hip, not a reaction from getting the vaccine. I am on blood thinners
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 | Office visit | · | · | ✓ |
| SD | Haematoma | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Spontaneous haemorrhage | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release