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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

  1. 2021-08-05
    Registered in v-safe
  2. 2021-08-05
    Dose 1 — Pfizer-BioNTech
  3. 2021-08-16
    Survey response — day 7, dose 1
    MedDRA: 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 activities
    Free text: Black bowel movement
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-19
    Survey response — day 14, dose 1
    MedDRA: Epistaxis, Headache, Oropharyngeal pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Blood in my nose and sort throat with head aidsand pain in my left arm and leg
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-26
    Survey response — day 21, dose 1
    MedDRA: Furuncle, Headache, Increased upper airway secretion, Sputum discoloured — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  6. 2021-08-27
    Dose 2 — Pfizer-BioNTech
  7. 2021-09-03
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Swelling, Itching · Chills, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-09-10
    Survey response — day 14, dose 2
    MedDRA: Headache, Hypertension, Sputum discoloured — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  9. 2021-09-19
    Survey response — day 21, dose 2
    MedDRA: 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 visit
    Free 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
  10. 2021-09-19
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-09-22
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  12. 2021-09-26
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-10-01
    Survey response — day 35, dose 2
    MedDRA: Nasal congestion, Pain, Sneezing — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My lower parts are hurting and. I have sneeze three times today to blow my nose kind of loose
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-08
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-11-26
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2022-02-27
    Survey response — 6 months, dose 2
    MedDRA: Increased upper airway secretion, Middle insomnia, Rhinorrhoea, Self-medication, Throat clearing — Feeling: Fair
    Free 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

DoseDateManufacturerCo-administered
12021-08-05Pfizer-BioNTech No
22021-08-27Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — day 7, dose 1

2021-08-16

Systemic reaction (other): Black bowel movement

Release 9 — day 14, dose 1

2021-08-19

Symptoms: Blood in my nose and sort throat with head aidsand pain in my left arm and leg

Release 9 — day 21, dose 1

2021-08-26

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

2021-09-10

Symptoms: I am getting up yellow mucus in the morning and sometimes afternoon. Headache with high blood pressure.

Release 9 — day 21, dose 2

2021-09-19

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

2021-10-01

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

2022-02-27

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

FieldPreferred term2021-092023-042024-11
SDEpistaxis ✓ · ✓
SDFuruncle ✓ · ✓
SDHeadache ✓ · ✓
SDHypertension · · ✓
SDIncreased upper airway secretion ✓ · ✓
SDMiddle insomnia · · ✓
SDNasal congestion · · ✓
SDNeck pain · · ✓
SDOropharyngeal pain ✓ · ✓
SDPain · · ✓
SDPain in extremity ✓ · ✓
SDRhinorrhoea · · ✓
SDSelf-medication · · ✓
SDSneezing · · ✓
SDSputum discoloured ✓ · ✓
SDThroat clearing · · ✓
SDThrombosis · · ✓
SDVaginal haemorrhage · · ✓
SROFaeces discoloured ✓ · ✓

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