4MN-21575-84411
2 vaccinations
3 coded responses
10 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 338 / FL
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Pfizer-BioNTech
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 2 — Pfizer-BioNTech
-
2021-04-13
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-15
- 2021-04-17
- 2021-04-19
-
2021-04-20
Health check-in — day 7, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-27
Survey response — day 14, dose 2MedDRA: Emergency care, Epistaxis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had a significant nosebleed that lasted 2 hours. A day later had a significant nosebleed that lasted 8 hours. Did not seek medical care due to time of occurrence left ER only optionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — day 21, dose 2MedDRA: Emergency care, Epistaxis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Nose bleeds continued to get worse. Went to urgent care after multiple prolonged nosebleeds. Using 12 sticks of silver nitrate they still could not carterize and stop the bleeding. Was sent to ER. ER couldnt stop it so scheduled for ENT.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-11
Survey response — day 28, dose 2MedDRA: Epistaxis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continuation of unexplained nosebleedsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2022-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — day 14, dose 2
Symptoms: Had a significant nosebleed that lasted 2 hours. A day later had a significant nosebleed that lasted 8 hours. Did not seek medical care due to time of occurrence left ER only option
Release 8 — day 21, dose 2
Symptoms: Nose bleeds continued to get worse. Went to urgent care after multiple prolonged nosebleeds. Using 12 sticks of silver nitrate they still could not carterize and stop the bleeding. Was sent to ER. ER couldnt stop it so scheduled for ENT.
Release 8 — day 28, dose 2
Symptoms: Continuation of unexplained nosebleeds
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release