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5ZX-22180-35244

1 vaccination 6 coded responses 9 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
067 / CT
Registered
2021-05-10
Relationship
Self
Race
Multiracial
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-05-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-10
    Registered in v-safe
  3. 2021-05-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Haemorrhage, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Headache
    Free text: Edens in legs and s ratchet self and bled for 20 minutes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Right leg and foot edema.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Headache
    Free text: Legs are still swelled. General headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain, Swelling
    Free text: Swelled legs and feet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-15
    Survey response — day 7, dose 1
    MedDRA: Blood disorder, Menstruation irregular, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Swelling of legs and feet. Thinned blood. Started menses 53 yrs old
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-22
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-06-07
    Survey response — day 28, dose 1
    MedDRA: Coagulopathy, Headache, Nausea, Thrombosis — Feeling: Poor
    Free text: Going on my second round of antibiotics. Have to go for a PT/PTT test for coagulating since it thinned by blood. I also at 53 blood thinned that I started to pass blood clots. Intermittent headache and nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-13
    Health check-in — day 35, dose 1
    Feeling: Poor
    Adult check-in
  11. 2021-06-19
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-08Pfizer-BioNTech

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-10

Systemic reaction (other): Edens in legs and s ratchet self and bled for 20 minutes

2021-05-11

Systemic reaction (other): Right leg and foot edema.

2021-05-13

Systemic reaction (other): Legs are still swelled. General headache

2021-05-14

Systemic reaction (other): Swelled legs and feet.

Release 8 — day 7, dose 1

2021-05-15

Systemic reaction (other): Swelling of legs and feet. Thinned blood. Started menses 53 yrs old

Release 8 — day 28, dose 1

2021-06-07

Symptoms: Going on my second round of antibiotics. Have to go for a PT/PTT test for coagulating since it thinned by blood. I also at 53 blood thinned that I started to pass blood clots. Intermittent headache and nausea

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
SDCoagulopathy ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDThrombosis ✓ ✓ ✓
SROBlood disorder ✓ ✓ ✓
SROHaemorrhage ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMenstruation irregular ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓

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