6M3-78672-13907
2 vaccinations
7 coded responses
11 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 480 / MI
- Registered
- 2021-08-05
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-08-05
Registered in v-safe
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2021-08-05
Dose 1 — Pfizer-BioNTech
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2021-08-16
Survey response — day 7, dose 1MedDRA: Faeces discoloured — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Black bowel movementMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-19
Survey response — day 14, dose 1MedDRA: Epistaxis, Headache, Oropharyngeal pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Blood in my nose and sort throat with head aidsand pain in my left arm and legMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Survey response — day 21, dose 1MedDRA: Furuncle, Headache, Increased upper airway secretion, Sputum discoloured — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I am getting some yellow mucus up out of my throat everyday. Head aids and I have a boil on my bottom with pus coming out.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Dose 2 — Pfizer-BioNTech
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2021-09-03
Health check-in — day 7, dose 2Feeling: Fair · Site: Swelling, Itching · Chills, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-09-10
Survey response — day 14, dose 2MedDRA: Headache, Hypertension, Sputum discoloured — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I am getting up yellow mucus in the morning and sometimes afternoon. Headache with high blood pressure.MedDRA releases: 2024-11 · check-in free text available
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2021-09-19
Survey response — day 21, dose 2MedDRA: Headache, Neck pain, Pain, Thrombosis, Vaginal haemorrhage — Feeling: Fair · 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: I have been having blood clots and body pain . My lower parts legs &back blood clots from my vagina . Pain from the neck at the back of my head.MedDRA releases: 2024-11 · check-in free text available
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2021-09-19
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-26
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2021-10-01
Survey response — day 35, dose 2MedDRA: Nasal congestion, Pain, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My lower parts are hurting and. I have sneeze three times today to blow my nose kind of looseMedDRA releases: 2024-11 · check-in free text available
- 2021-10-08
- 2021-11-26
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2022-02-27
Survey response — 6 months, dose 2MedDRA: Increased upper airway secretion, Middle insomnia, Rhinorrhoea, Self-medication, Throat clearing — Feeling: FairFree text: Every day I have to clear my throat out with mucus and nose in the morning and night after eating also I have taken so sinus pills once a day it helps out some times two . Late night I wake up with my nose running.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-05 | Pfizer-BioNTech | No |
| 2 | 2021-08-27 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — day 7, dose 1
Systemic reaction (other): Black bowel movement
Release 9 — day 14, dose 1
Symptoms: Blood in my nose and sort throat with head aidsand pain in my left arm and leg
Release 9 — day 21, dose 1
Symptoms: I am getting some yellow mucus up out of my throat everyday. Head aids and I have a boil on my bottom with pus coming out.
Release 9 — day 14, dose 2
Symptoms: I am getting up yellow mucus in the morning and sometimes afternoon. Headache with high blood pressure.
Release 9 — day 21, dose 2
Symptoms: I have been having blood clots and body pain . My lower parts legs &back blood clots from my vagina . Pain from the neck at the back of my head.
Release 9 — day 35, dose 2
Symptoms: My lower parts are hurting and. I have sneeze three times today to blow my nose kind of loose
Release 11 — 6 months, dose 2
Symptoms: Every day I have to clear my throat out with mucus and nose in the morning and night after eating also I have taken so sinus pills once a day it helps out some times two . Late night I wake up with my nose running.
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 | Epistaxis | ✓ | · | ✓ |
| SD | Furuncle | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Increased upper airway secretion | ✓ | · | ✓ |
| SD | Middle insomnia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Sputum discoloured | ✓ | · | ✓ |
| SD | Throat clearing | · | · | ✓ |
| SD | Thrombosis | · | · | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
| SRO | Faeces discoloured | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release