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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

  1. 2021-03-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-21
    Registered in v-safe
  3. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-27
    Survey response — day 7, dose 1
    MedDRA: Contusion, Mass — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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 related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-27
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-04-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-14
    Dose 2 — Pfizer-BioNTech
  10. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  11. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-15
    Survey response — 3 months, dose 2
    MedDRA: Arthropod bite, Hypersensitivity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Allergic reaction to mosquitoe bites
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-07-15
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-07-22
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  18. 2021-10-13
    Survey response — 6 months, dose 2
    MedDRA: Celibacy, Glycosylated haemoglobin decreased, Sexually transmitted disease — Feeling: Good
    Free text: Unexplained elevated A1C diagnosis of std but ive been celibate 4 years
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-04-14
    Survey response — 12 months, dose 2
    MedDRA: Peripheral venous disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Vein reflux leg problems
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-14
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2022-04-18

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Pfizer-BioNTech
22021-04-14Pfizer-BioNTech

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-27

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

2021-07-15

Symptoms: Allergic reaction to mosquitoe bites

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Unexplained elevated A1C diagnosis of std but ive been celibate 4 years

Release 11 — 12 months, dose 2

2022-04-14

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

FieldPreferred term2021-092023-042024-11
HCVOContusion ✓ ✓ ✓
HCVOMass ✓ ✓ ✓
SDArthropod bite ✓ · ✓
SDCelibacy · · ✓
SDGlycosylated haemoglobin decreased · · ✓
SDHypersensitivity ✓ · ✓
SDPeripheral venous disease · · ✓
SDSexually transmitted disease · · ✓
SROContusion ✓ ✓ ✓

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