4M9-14079-70789
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 605 / IL
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-28
Registered in v-safe
-
2021-03-28
Dose 1 — Pfizer-BioNTech
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-13
-
2021-04-18
Dose 2 — Pfizer-BioNTech
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper, Bowel movement irregularity — Feeling: Good · Site: PainFree text: Stomach pain followed by several regulator type bowel movements.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
- 2021-04-25
-
2021-05-02
Survey response — day 14, dose 2MedDRA: Skin irritation — Feeling: GoodFree text: A bit of a skin irritation on Friday. It is still here after almost 2 days, but getting much much better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-09
Survey response — day 21, dose 2MedDRA: Abdominal discomfort, Epigastric discomfort, Headache, Pre-existing disease, Sinus disorder — Feeling: GoodFree text: I had stomach discomfort and irritation, but it may be due to GERD. Also, slight headaches believed due to sinus problems.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
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2021-05-23
Survey response — day 35, dose 2MedDRA: Breast disorder, Premenstrual syndrome — Feeling: GoodFree text: Okay, I forgot to mention about 3 weeks after the second shot I started having real bad premenstrual symptoms in breast & I'd finished my monthly cycle about a week earlier. It seemed as if I was going to have another one right away, but much worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-30
Survey response — day 42, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: I developed a slight pain on the top of my left arm where I got the second shot a few days ago. Today it is a bit better, but expanded to a bit lower on my back shoulder, too.I also had a little pain in my left knee. It's been on & off all week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-18
Survey response — 3 months, dose 2MedDRA: Headache, Oropharyngeal pain, Premenstrual syndrome — Feeling: GoodFree text: Heavy premenstrual symptoms, sore throats & slightly severe headaches.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-17
- 2022-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Pfizer-BioNTech | |
| 2 | 2021-04-18 | Pfizer-BioNTech |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Stomach pain followed by several regulator type bowel movements.
Release 8 — day 14, dose 2
Symptoms: A bit of a skin irritation on Friday. It is still here after almost 2 days, but getting much much better.
Release 8 — day 21, dose 2
Symptoms: I had stomach discomfort and irritation, but it may be due to GERD. Also, slight headaches believed due to sinus problems.
Release 8 — day 35, dose 2
Symptoms: Okay, I forgot to mention about 3 weeks after the second shot I started having real bad premenstrual symptoms in breast & I'd finished my monthly cycle about a week earlier. It seemed as if I was going to have another one right away, but much worse. cut off by CDC
Release 8 — day 42, dose 2
Symptoms: I developed a slight pain on the top of my left arm where I got the second shot a few days ago. Today it is a bit better, but expanded to a bit lower on my back shoulder, too.I also had a little pain in my left knee. It's been on & off all week.
Release 9 — 3 months, dose 2
Symptoms: Heavy premenstrual symptoms, sore throats & slightly severe headaches.
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 discomfort | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Breast disorder | ✓ | ✓ | ✓ |
| SD | Epigastric discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Premenstrual syndrome | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Skin irritation | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Bowel movement irregularity | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release