ZG4-33193-97726
1 vaccination
3 coded responses
3 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 662 / KS
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Pfizer-BioNTech
-
2021-03-21
Registered in v-safe
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2021-03-21
Survey response — day 14, dose 1MedDRA: Hospitalisation, Pulmonary embolism, Thromboembolectomy — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Severe PE with admission to Hospital on 03/15/2021. Embolectomy on 03/16/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-24
Survey response — day 21, dose 1MedDRA: Hospitalisation, Pulmonary embolism, Thromboembolectomy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: I experienced pulmonary emboli, with hospitalization, followed with a embolectomy. Just dismissed from hospital 4 days ago! Currently on a blood thinner. Should I proceed with my second shot in a week and a half??????? · Healthcare visit (other): Pulmonary emboli two weeks after first vaccination. Hospitalized for four days with an embolectomy!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-29
Survey response — day 28, dose 1MedDRA: Hospitalisation, Pulmonary embolism, Thromboembolectomy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Admitted to hospital with multiple PEs, had embolectomy to withdraw severe PEs.Wondering if I should still get my second shot? Im currently on blood thinners.I would appreciate if somebody read these and get back to me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-21 | Unsuccessful | |
| 2021-03-24 | Unsuccessful | |
| 2021-03-29 | Unsuccessful |
Free text
Release 6 — day 14, dose 1
Symptoms: Severe PE with admission to Hospital on 03/15/2021. Embolectomy on 03/16/2021
Release 6 — day 21, dose 1
Symptoms: I experienced pulmonary emboli, with hospitalization, followed with a embolectomy. Just dismissed from hospital 4 days ago! Currently on a blood thinner. Should I proceed with my second shot in a week and a half???????
Healthcare visit (other): Pulmonary emboli two weeks after first vaccination. Hospitalized for four days with an embolectomy!
Release 6 — day 28, dose 1
Symptoms: Admitted to hospital with multiple PEs, had embolectomy to withdraw severe PEs.Wondering if I should still get my second shot? Im currently on blood thinners.I would appreciate if somebody read these and get back to me.
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 |
|---|---|---|---|---|
| HCVO | Hospitalisation | ✓ | ✓ | ✓ |
| HCVO | Pulmonary embolism | ✓ | ✓ | ✓ |
| HCVO | Thromboembolectomy | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Pulmonary embolism | ✓ | ✓ | ✓ |
| SD | Thromboembolectomy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release