4W9-32804-48046
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 283 / NC
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-19
Dose 1 — Pfizer-BioNTech
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2021-03-21
Registered in v-safe
- 2021-03-21
- 2021-03-22
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2021-03-27
Survey response — day 7, dose 1MedDRA: Contusion, Mass — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I stumbled out of the porta potty at the vaccine location not watching where i was going i suffered a huge bruise on the non vaccinated arm. I dont think its related to the vaccine . Otherwise i feel great Thank God. · Healthcare visit (other): I scheduled an appointment with Dr (b)(6) to make sure Im healing well and to verify that its just a bruise with a lump and to verify its not vaccine relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-02
- 2021-04-09
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2021-04-14
Dose 2 — Pfizer-BioNTech
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-05-13
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2021-07-15
Survey response — 3 months, dose 2MedDRA: Arthropod bite, Hypersensitivity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Allergic reaction to mosquitoe bitesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-15
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-10-13
Survey response — 6 months, dose 2MedDRA: Celibacy, Glycosylated haemoglobin decreased, Sexually transmitted disease — Feeling: GoodFree text: Unexplained elevated A1C diagnosis of std but ive been celibate 4 yearsMedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Survey response — 12 months, dose 2MedDRA: Peripheral venous disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Vein reflux leg problemsMedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-14 | Pfizer-BioNTech |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): I stumbled out of the porta potty at the vaccine location not watching where i was going i suffered a huge bruise on the non vaccinated arm. I dont think its related to the vaccine . Otherwise i feel great Thank God.
Healthcare visit (other): I scheduled an appointment with Dr (b)(6) to make sure Im healing well and to verify that its just a bruise with a lump and to verify its not vaccine related
redacted (b)(6)
Release 9 — 3 months, dose 2
Symptoms: Allergic reaction to mosquitoe bites
Release 10 — 6 months, dose 2
Symptoms: Unexplained elevated A1C diagnosis of std but ive been celibate 4 years
Release 11 — 12 months, dose 2
Symptoms: Vein reflux leg problems
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 | Contusion | ✓ | ✓ | ✓ |
| HCVO | Mass | ✓ | ✓ | ✓ |
| SD | Arthropod bite | ✓ | · | ✓ |
| SD | Celibacy | · | · | ✓ |
| SD | Glycosylated haemoglobin decreased | · | · | ✓ |
| SD | Hypersensitivity | ✓ | · | ✓ |
| SD | Peripheral venous disease | · | · | ✓ |
| SD | Sexually transmitted disease | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release