268-76974-50027
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Pfizer-BioNTech
-
2021-03-03
Registered in v-safe
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Asthenia, Blood glucose abnormal, Diarrhoea, Dizziness, Faeces discoloured, Fatigue, Feeling abnormal, Gastrointestinal pain, Immediate post-injection reaction, Nasopharyngitis, Nausea, Pain in extremity, Sleep disorder, Syncope — Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tirednessFree text: Yes, yesterday (shot day). About 20 mins after shot, I felt foggy & slightly dizzy. Then about 8 hrs later, I had severe abdominal pains, my blood sugar (I am not diabetic) bottomed out & I felt nauseous, weak, faint & had cold sweats. Then I had severe loose stools with pain, very weak. The stools were poorly formed & water. They went on for -7 mins. Color was very dark green/black. I was extremely tired. Sitting up in chair with blankets trying to get warm. No fever. During night, arm pain woke me up many times as did continual abdominal pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain — Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Abdominal pain is sporadic & doesn't last long.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activitiesAdult check-in
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Joint pains · Be unable to do your normal daily activitiesFree text: Knees Right ShoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
-
2021-03-23
Dose 2 — Pfizer-BioNTech
- 2021-03-23
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2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, DiarrheaFree text: Not clear headed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
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2021-04-27
Survey response — day 35, dose 2MedDRA: Diarrhoea, Fatigue — Feeling: FairFree text: Continuing very very loose stools that occur - even waking me up. Very tired today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-06-22
- 2021-09-21
- 2022-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-03-23 | Pfizer-BioNTech |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Yes, yesterday (shot day). About 20 mins after shot, I felt foggy & slightly dizzy. Then about 8 hrs later, I had severe abdominal pains, my blood sugar (I am not diabetic) bottomed out & I felt nauseous, weak, faint & had cold sweats. Then I had severe loose stools with pain, very weak. The stools were poorly formed & water. They went on for -7 mins. Color was very dark green/black. I was extremely tired. Sitting up in chair with blankets trying to get warm. No fever. During night, arm pain woke me up many times as did continual abdominal pain.
Systemic reaction (other): Abdominal pain is sporadic & doesn't last long.
Systemic reaction (other): Knees Right Shoulder
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Not clear headed.
Release 8 — day 35, dose 2
Symptoms: Continuing very very loose stools that occur - even waking me up. Very tired today.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Blood glucose abnormal | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Faeces discoloured | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release