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29X-21899-01186

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
140 / NY
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-06
    Registered in v-safe
  3. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Chills, Headache, Fatigue or tiredness
    Free text: Very dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Headache · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-12
    Survey response — day 7, dose 1
    MedDRA: Lymph node pain, Vision blurred — Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain
    Free text: Right side lift node is sore under arm fuzzy eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-19
    Dose 2 — Pfizer-BioNTech
  8. 2021-04-19
    Survey response — day 0, dose 2
    MedDRA: Abnormal sensation in eye, Dizziness — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities
    Free text: Dizzy eyes fuzzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper, Painful respiration — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Sharp pain in upper stomach in the middle all day and nite when I breathe in it hurts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper, Pain — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Pain on right side and middle of stomach. Pain is sharp on right side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper — Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Middle of stomach pain going to right side. Sharp pain.at times all the time other times.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-26
    Survey response — day 7, dose 2
    MedDRA: Abdominal pain upper, Hospitalisation — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: At hospital with pain in stomach and right side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-05
    Survey response — day 14, dose 2
    MedDRA: Abdominal discomfort, Asthenia, Diarrhoea, Dizziness, Faeces soft, Headache, Vision blurred — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Weak stomach upset soft stools headache diarrhea dizzy eyes fuzzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-10
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-05-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-04-19
    Survey response — 12 months, dose 2
    MedDRA: Abdominal discomfort, Arthralgia, Diarrhoea, Headache — Feeling: Fair
    Free text: Headache upset stomach diarrhea sore joints
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Pfizer-BioNTech
22021-04-19Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Very dizzy

Release 7 — day 7, dose 1

2021-04-12

Systemic reaction (other): Right side lift node is sore under arm fuzzy eyes

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): Dizzy eyes fuzzy

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Sharp pain in upper stomach in the middle all day and nite when I breathe in it hurts

2021-04-23

Systemic reaction (other): Pain on right side and middle of stomach. Pain is sharp on right side.

2021-04-24

Systemic reaction (other): Middle of stomach pain going to right side. Sharp pain.at times all the time other times.

Release 8 — day 7, dose 2

2021-04-26

Systemic reaction (other): At hospital with pain in stomach and right side

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Weak stomach upset soft stools headache diarrhea dizzy eyes fuzzy

Release 11 — 12 months, dose 2

2022-04-19

Symptoms: Headache upset stomach diarrhea sore joints

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
SDAbdominal discomfort ✓ ✓ ✓
SDArthralgia · · ✓
SDAsthenia ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFaeces soft ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SROAbdominal pain upper ✓ ✓ ✓
SROAbnormal sensation in eye ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHospitalisation ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPainful respiration ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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