ZX2-19191-43002
2 vaccinations
3 coded responses
5 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 916 / CA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Pfizer-BioNTech
-
2021-03-10
Dose 2 — Pfizer-BioNTech
-
2021-03-11
Registered in v-safe
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Deep vein thrombosis, Office visit, Pre-existing disease, Pulmonary embolism — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: On Feb 23rd I was diagnosed with an extensive blood clot in my leg (DVT) and some pulmonary embolisms (blood clot in the lungs), the doctors told me it was due to a knee surgery I had Feb 1st, my birth control pills and I have May-Thurner syndrome, but I wondered if the vaccine could also of contributed since I had my blood clot less than a week after my 1st vaccine and I read about links between vaccines and blood clots in the newsMedDRA 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 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Symptoms likely due to recent DVT and PEMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: Fatigue may be due to dvt and pulmonary embolism recoveryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-04-21
-
2021-12-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Pfizer-BioNTech | |
| 2 | 2021-03-10 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): On Feb 23rd I was diagnosed with an extensive blood clot in my leg (DVT) and some pulmonary embolisms (blood clot in the lungs), the doctors told me it was due to a knee surgery I had Feb 1st, my birth control pills and I have May-Thurner syndrome, but I wondered if the vaccine could also of contributed since I had my blood clot less than a week after my 1st vaccine and I read about links between vaccines and blood clots in the news
Systemic reaction (other): Symptoms likely due to recent DVT and PE
Systemic reaction (other): Fatigue may be due to dvt and pulmonary embolism recovery
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Deep vein thrombosis | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pulmonary embolism | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release