7JV-26473-14177
1 vaccination
2 coded responses
4 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 782 / TX
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Pfizer-BioNTech
-
2021-03-09
Survey response — day 0, dose 1MedDRA: Emergency care, Immediate post-injection reaction, Pain in extremity, Pre-existing disease, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I have factor V Leiden and have a history of a superficial clot- about 30 minutes after my vaccine I noticed my lower left leg was hurting. I went to the ER later and theres no clot, but I have to follow up in 7-10 days. Im also 8 weeks pregnant with my second child and never had leg pain in that pregnancy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Report sent to call center — day 0, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Superficial vein thrombosis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I have developed a superficial blood clot where I had one previouslyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-13
-
2021-03-15
Call successfulCompleted over the phone
- 2021-09-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-09 | Successful | Completed over the phone |
| 2021-03-11 | Successful 2021-03-15 |
Completed over the phone |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): I have factor V Leiden and have a history of a superficial clot- about 30 minutes after my vaccine I noticed my lower left leg was hurting. I went to the ER later and theres no clot, but I have to follow up in 7-10 days. Im also 8 weeks pregnant with my second child and never had leg pain in that pregnancy.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have developed a superficial blood clot where I had one previously
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 |
|---|---|---|---|---|
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Superficial vein thrombosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release