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3QX-14632-77678

4 vaccinations 5 coded responses 9 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
207 / MD
Registered
2022-04-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-18
    Dose 2 — Pfizer-BioNTech
  3. 2021-09-24
    Dose 3 — Pfizer-BioNTech
  4. 2022-03-31
    Dose 4 — Pfizer-BioNTech
  5. 2022-04-03
    Registered in v-safe
  6. 2022-04-03
    Survey response — days 1–6 daily, dose 4
    MedDRA: Haemoptysis, Haemorrhage, Head discomfort — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Funny head feeling - hard to describe - occurred briefly right after the shot & the next day for about 6 hours. Also, I started coughing up blood the day after the shot. right · Healthcare visit (other): It happened over the weekend and today is Sunday. I will be calling my doctor tomorrow. My shot was on a Thursday and bleeding started Friday night. I considered going to the ER but want to avoid that if possible.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-04-03
    Report sent to call center — days 1–6 daily, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2022-04-04
    Survey response — days 1–6 daily, dose 4
    MedDRA: Haemorrhage — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Same as already described, but bleeding has let up a lot. I do not know if the vaccinr weakens blood vessels or if yhe bleeding is due to the shot.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-04-05
    Survey response — days 1–6 daily, dose 4
    MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tiredness
    Free text: Same as yesterday
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-04-06
    Survey response — days 1–6 daily, dose 4
    MedDRA: Haemorrhage, Malaise — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I just don't feel good - it comes on waves. I'm feeling ok and then not ok. Bleeding has lessened a lot but is not entirely gone..
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-04-07
    Survey response — day 7, dose 4
    MedDRA: Feeling hot, Haemorrhage — Feeling: Fair
    Free text: Bleeding is subsiding. I think it is connected to my GI system. No episodes of, at times, getting too hot today
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-11
  13. 2022-04-14
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  14. 2022-04-23
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  15. 2022-04-28
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  16. 2022-05-05
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Pfizer-BioNTech No
22021-02-18Pfizer-BioNTech No
32021-09-24Pfizer-BioNTech No
42022-03-31Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — days 1–6 daily, dose 4

2022-04-03

Systemic reaction (other): Funny head feeling - hard to describe - occurred briefly right after the shot & the next day for about 6 hours. Also, I started coughing up blood the day after the shot. right
Healthcare visit (other): It happened over the weekend and today is Sunday. I will be calling my doctor tomorrow. My shot was on a Thursday and bleeding started Friday night. I considered going to the ER but want to avoid that if possible.

2022-04-04

Systemic reaction (other): Same as already described, but bleeding has let up a lot. I do not know if the vaccinr weakens blood vessels or if yhe bleeding is due to the shot.

2022-04-05

Systemic reaction (other): Same as yesterday

2022-04-06

Systemic reaction (other): I just don't feel good - it comes on waves. I'm feeling ok and then not ok. Bleeding has lessened a lot but is not entirely gone..

Release 11 — day 7, dose 4

2022-04-07

Systemic reaction (other): Bleeding is subsiding. I think it is connected to my GI system. No episodes of, at times, getting too hot today

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

FieldPreferred term2021-092023-042024-11
HCVOHaemorrhage · · ✓
SROAdverse reaction · · ✓
SROFeeling hot · · ✓
SROHaemoptysis · · ✓
SROHaemorrhage · · ✓
SROHead discomfort · · ✓
SROMalaise · · ✓

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