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3DX-21898-46748

3 vaccinations 7 coded responses 13 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
775 / TX
Registered
2021-10-30
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-28
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-26
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-28
    Dose 3 — Moderna
  4. 2021-10-30
    Registered in v-safe
  5. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abdominal distension, Abdominal pain upper — Feeling: Fair · Site: Pain · Abdominal pain · Be unable to do your normal daily activities
    Free text: Stomach swell and stomach pain - a little better today
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abdominal pain — Feeling: Fair · Site: Swelling
    Free text: At the moment I think abdominal pain lessened a lot
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-11-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain, Swelling — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Stomach swelling and pain
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-11-04
    Survey response — day 7, dose 3
    MedDRA: Abdominal pain upper, Swelling — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Stomache swell
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-11
    Survey response — day 14, dose 3
    MedDRA: Abdominal distension, Abdominal pain upper, Induration, Muscle spasms, Self-medication, Swelling — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Having some bloating on and off trying a blander diet , milk if magnesium, omeprazole, mylanta to see if anything else going on. I know cramps and swelling were a symptom in the beginning . Lately Stomach feels hard some pain was in center of stomach
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  13. 2021-11-27
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  14. 2021-12-04
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-09
    Survey response — day 42, dose 3
    MedDRA: Abdominal distension, Gait disturbance, Mobility decreased, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Stomach bloated, pain last two days. Today worse. Hard to walk or do anything.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-30
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-10-28
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Malaise, Office visit, Sinusitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I got Covid around august 12, 2022 two days later got a very very bad sinus infection, sinusitis went to doctor at least 5 times took 24-27 antiobiotics. Stayed sick for weeks only sinus related and feel.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-10-28
    Report sent to call center — 12 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  19. 2022-10-31
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-28Pfizer-BioNTech No
22021-04-26Pfizer-BioNTech No
32021-10-28Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Stomach swell and stomach pain - a little better today

2021-11-01

Systemic reaction (other): At the moment I think abdominal pain lessened a lot

2021-11-03

Systemic reaction (other): Stomach swelling and pain

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): Stomache swell

Release 10 — day 14, dose 3

2021-11-11

Symptoms: Having some bloating on and off trying a blander diet , milk if magnesium, omeprazole, mylanta to see if anything else going on. I know cramps and swelling were a symptom in the beginning . Lately Stomach feels hard some pain was in center of stomach cut off by CDC

Release 10 — day 42, dose 3

2021-12-09

Symptoms: Stomach bloated, pain last two days. Today worse. Hard to walk or do anything.

Release 12 — 12 months, dose 3

2022-10-28

Symptoms: I got Covid around august 12, 2022 two days later got a very very bad sinus infection, sinusitis went to doctor at least 5 times took 24-27 antiobiotics. Stayed sick for weeks only sinus related and feel.

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 distension · · ✓
SDAbdominal pain upper · · ✓
SDCOVID-19 · · ✓
SDGait disturbance · · ✓
SDInduration · · ✓
SDMalaise · · ✓
SDMobility decreased · · ✓
SDMuscle spasms · · ✓
SDOffice visit · · ✓
SDPain · · ✓
SDSelf-medication · · ✓
SDSinusitis · · ✓
SDSwelling · · ✓
SROAbdominal distension · · ✓
SROAbdominal pain · · ✓
SROAbdominal pain upper · · ✓
SROPain · · ✓
SROSwelling · · ✓

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