3VX-22083-26485
5 vaccinations
6 coded responses
60 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 945 / CA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Pfizer-BioNTech
-
2021-04-02
Registered in v-safe
-
2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: less appetite than usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Flatulence, Irritable bowel syndrome, Nausea, Pain, Pre-existing disease — Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: abdominal pain started late Monday night, has varied from mild to moderate, includes extra intestinal gas. Occasional mild-to-moderate nausea started today. I suspect the pain and gas are an IBS flare-up. I suspect the nausea is related to today's only-clear-liquids diet to treat the pain (which does seem to be helping). I filed VAER temporary number (b)(6)about this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-04-24
-
2021-04-28
Dose 2 — Pfizer-BioNTech
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-13
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-07-28
- 2021-10-28
-
2021-12-09
Dose 3 — Pfizer-BioNTech
-
2021-12-10
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal discomfort, Asthenia, Daydreaming, Flatulence, Injection site pain, Injection site swelling, Pain, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: I have felt a little achiness, abdominal gas discomfort, low energy, and absent-mindedness, but the only thing outside my usual range of variability is soreness at the injection site, which is also normal for me after a vaccine. swelling is very mildMedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-08
- 2022-01-14
- 2022-01-21
- 2022-03-10
-
2022-04-17
Dose 4 — Pfizer-BioNTech
-
2022-04-17
Health check-in — day 0, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-04-18
- 2022-04-19
- 2022-04-21
- 2022-04-22
- 2022-04-25
- 2022-05-01
- 2022-05-09
- 2022-05-15
-
2022-05-23
Survey response — day 35, dose 4MedDRA: Abdominal pain, Irritable bowel syndrome, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I've been having a day or two of mild to moderate abdominal pain. I believe this to be a flare-up of my (usually well-controlled) Irritable Bowel Syndrome.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-29
- 2022-07-17
-
2022-10-04
Dose 5 — Pfizer-BioNTech
-
2022-10-05
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Soreness at shot site seemed to come on more slowly for this bivalent booster than my previous covid vaccine shots, but now seems comparable in intensity. No other symptomd.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
-
2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia, Myalgia, Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: the joint and muscle/body aches I'm reporting today may not be vaccine-related; they may just be too much computer and not enough exercise yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech | |
| 3 | 2021-12-09 | Pfizer-BioNTech | No |
| 4 | 2022-04-17 | Pfizer-BioNTech | No |
| 5 | 2022-10-04 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): less appetite than usual
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): abdominal pain started late Monday night, has varied from mild to moderate, includes extra intestinal gas. Occasional mild-to-moderate nausea started today. I suspect the pain and gas are an IBS flare-up. I suspect the nausea is related to today's only-clear-liquids diet to treat the pain (which does seem to be helping). I filed VAER temporary number (b)(6)about this.
redacted (b)(6)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I have felt a little achiness, abdominal gas discomfort, low energy, and absent-mindedness, but the only thing outside my usual range of variability is soreness at the injection site, which is also normal for me after a vaccine. swelling is very mild cut off by CDC
Release 11 — day 35, dose 4
Symptoms: I've been having a day or two of mild to moderate abdominal pain. I believe this to be a flare-up of my (usually well-controlled) Irritable Bowel Syndrome.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Soreness at shot site seemed to come on more slowly for this bivalent booster than my previous covid vaccine shots, but now seems comparable in intensity. No other symptomd.
Systemic reaction (other): the joint and muscle/body aches I'm reporting today may not be vaccine-related; they may just be too much computer and not enough exercise yesterday
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 | Abdominal pain | · | · | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Daydreaming | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Irritable bowel syndrome | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release