2UQ-11192-11610
3 vaccinations
15 coded responses
37 check-ins
15 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 115 / NY
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-12
Registered in v-safe
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2021-02-12
Dose 1 — Pfizer-BioNTech
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2021-02-12
Survey response — day 0, dose 1MedDRA: Epigastric discomfort — Feeling: Fair · Chills, Fatigue or tirednessFree text: Not nausea but stomach irritabilityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · HeadacheFree text: NopeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: GoodFree text: Still experiencing some mild indigestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: GoodFree text: Mild indigestion continuing usually around 4pmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-26
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2021-03-05
Survey response — day 21, dose 1MedDRA: Cough, Eye pruritus, Hypersensitivity, Pre-existing disease — Feeling: FairFree text: Itchy eyes. Cough I attribute to allergies but they would not let me get me second shot today. Will see doctor on Monday for clearanceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Dose 2 — Pfizer-BioNTech
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: GoodFree text: Slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-04-06
Survey response — day 28, dose 2MedDRA: Gait disturbance, Groin pain, Insomnia, Pain, Pain in extremity, Pruritus, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Level 8 pain in my right groin & shin (front) Sleeping difficult for several nights. Icing an began taking ibuprofen. Pain subsides and able to walk a little betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-09
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2022-01-03
Dose 3 — Pfizer-BioNTech
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2022-01-04
Survey response — days 1–6 daily, dose 3MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Some indigestionMedDRA releases: 2024-11 · check-in free text available
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2022-01-05
Survey response — days 1–6 daily, dose 3MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Slight IndigestionMedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Dyspepsia — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Slight cough. Slight indigestionMedDRA releases: 2024-11 · check-in free text available
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2022-01-08
Survey response — days 1–6 daily, dose 3MedDRA: Dyspepsia — Feeling: Good · Site: ItchingFree text: Slight indigestionMedDRA releases: 2024-11 · check-in free text available
- 2022-01-09
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2022-01-10
Survey response — day 7, dose 3MedDRA: Dyspepsia — Feeling: GoodFree text: Slight indigestionMedDRA releases: 2024-11 · check-in free text available
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2022-01-17
Survey response — day 14, dose 3MedDRA: Dyspepsia — Feeling: GoodFree text: Indigestion has not improved. Definitely worse then my second shotMedDRA releases: 2024-11 · check-in free text available
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2022-01-24
Survey response — day 21, dose 3MedDRA: Discomfort, Dyspepsia, Self-medication — Feeling: GoodFree text: Indigestion is still causing discomfort and doesn't seem to be improving. Tums and I becoming good friendsMedDRA releases: 2024-11 · check-in free text available
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2022-01-31
Survey response — day 28, dose 3MedDRA: Dyspepsia — Feeling: GoodFree text: Not worsening but consistent indigesttion.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-09
- 2022-02-14
- 2022-04-04
- 2023-01-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Pfizer-BioNTech | |
| 2 | 2021-03-09 | Pfizer-BioNTech | |
| 3 | 2022-01-03 | Pfizer-BioNTech | No |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Not nausea but stomach irritability
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Nope
Systemic reaction (other): Still experiencing some mild indigestion
Systemic reaction (other): Mild indigestion continuing usually around 4pm
Release 5 — day 21, dose 1
Symptoms: Itchy eyes. Cough I attribute to allergies but they would not let me get me second shot today. Will see doctor on Monday for clearance
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Slight headache
Release 7 — day 28, dose 2
Symptoms: Level 8 pain in my right groin & shin (front) Sleeping difficult for several nights. Icing an began taking ibuprofen. Pain subsides and able to walk a little better
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Some indigestion
Systemic reaction (other): Slight Indigestion
Systemic reaction (other): Slight cough. Slight indigestion
Systemic reaction (other): Slight indigestion
Release 10 — day 7, dose 3
Systemic reaction (other): Slight indigestion
Release 10 — day 14, dose 3
Symptoms: Indigestion has not improved. Definitely worse then my second shot
Release 11 — day 21, dose 3
Symptoms: Indigestion is still causing discomfort and doesn't seem to be improving. Tums and I becoming good friends
Release 11 — day 28, dose 3
Symptoms: Not worsening but consistent indigesttion.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Groin pain | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ○ | ✓ | ○ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Epigastric discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release