3KG-26561-38389
3 vaccinations
11 coded responses
24 check-ins
10 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-09
Dose 1 — Pfizer-BioNTech
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2021-01-11
Registered in v-safe
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Dehydration, Thirst — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: Dehydration and thirstMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Adnexa uteri pain — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Right quadrant ovarian region painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain lower, Dehydration — Feeling: Poor · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Dehydration/ rt quadrant ovarian region pains amplifiedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain lower, Gastrointestinal pain — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: Overall intestinal inflammation pains, especially at rt quadrant ovarian regionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — day 7, dose 1MedDRA: Abdominal pain lower, Abdominal pain upper — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Rt quadrant painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
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2021-02-01
Dose 2 — Pfizer-BioNTech
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2021-02-01
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Abdominal pain lower, Adnexa uteri pain, Back pain, Fatigue, Gastrointestinal pain, Injection site pain, Poor peripheral circulation — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Right quadrant lower abdomen intestinal/ovarian pains, lower back pains, vaccine injection site pain, poor blood circulation to lower region of legs and body fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain lower, Adnexa uteri pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Rt quadrant abdominal intestinal ovarian painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Adnexa uteri pain, Gastrointestinal pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Right quadrant abdominal intestinal ovarian painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — day 7, dose 2MedDRA: Abdominal pain, Adnexa uteri pain, Gastrointestinal pain, Pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Rt quadrant, left naval, Abdominal intestinal ovarian painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-22
- 2021-03-03
- 2021-03-17
- 2021-05-06
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2021-05-07
Pregnancy registry surveyPregnant after vaccination · Yes, I would like someone to contact me
- 2021-08-02
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2022-02-01
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Positive for covid - omicronMedDRA releases: 2024-11 · check-in free text available
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2022-02-10
Dose 3 — Pfizer-BioNTech
- 2022-05-14
- 2022-08-11
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2023-02-10
Survey response — 12 months, dose 3MedDRA: COVID-19, Vaccine positive rechallenge — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-02-10
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Pfizer-BioNTech | |
| 2 | 2021-02-01 | Pfizer-BioNTech | |
| 3 | 2022-02-10 | Pfizer-BioNTech | No |
Call center
3 call center cases
1 unsuccessful · 2 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dehydration and thirst
Systemic reaction (other): Right quadrant ovarian region pain
Systemic reaction (other): Dehydration/ rt quadrant ovarian region pains amplified
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Overall intestinal inflammation pains, especially at rt quadrant ovarian region
Release 2 — day 7, dose 1
Systemic reaction (other): Rt quadrant pain
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Right quadrant lower abdomen intestinal/ovarian pains, lower back pains, vaccine injection site pain, poor blood circulation to lower region of legs and body fatigue.
Systemic reaction (other): Rt quadrant abdominal intestinal ovarian pain
Systemic reaction (other): Right quadrant abdominal intestinal ovarian pain
Release 3 — day 7, dose 2
Systemic reaction (other): Rt quadrant, left naval, Abdominal intestinal ovarian pains
Release 11 — 12 months, dose 2
Symptoms: Positive for covid - omicron
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 | COVID-19 | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Abdominal pain lower | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Adnexa uteri pain | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Poor peripheral circulation | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release