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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

  1. 2021-03-02
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-03
    Registered in v-safe
  3. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 tiredness
    Free 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
  4. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain — Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Abdominal pain is sporadic & doesn't last long.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Joint pains · Be unable to do your normal daily activities
    Free text: Knees Right Shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-23
    Dose 2 — Pfizer-BioNTech
  12. 2021-03-23
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  13. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Diarrhea
    Free text: Not clear headed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  19. 2021-03-30
    Health check-in — day 7, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  20. 2021-04-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-27
    Survey response — day 35, dose 2
    MedDRA: Diarrhoea, Fatigue — Feeling: Fair
    Free 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
  24. 2021-05-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-03-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Pfizer-BioNTech
22021-03-23Pfizer-BioNTech

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

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.

2021-03-04

Systemic reaction (other): Abdominal pain is sporadic & doesn't last long.

2021-03-06

Systemic reaction (other): Knees Right Shoulder

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Not clear headed.

Release 8 — day 35, dose 2

2021-04-27

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

FieldPreferred term2021-092023-042024-11
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROBlood glucose abnormal ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFaeces discoloured ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROGastrointestinal pain ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓
SROSyncope ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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