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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

  1. 2021-03-28
    Registered in v-safe
  2. 2021-03-28
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-28
    Health check-in — day 0, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-18
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper, Bowel movement irregularity — Feeling: Good · Site: Pain
    Free text: Stomach pain followed by several regulator type bowel movements.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-25
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  17. 2021-05-02
    Survey response — day 14, dose 2
    MedDRA: Skin irritation — Feeling: Good
    Free 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
  18. 2021-05-09
    Survey response — day 21, dose 2
    MedDRA: Abdominal discomfort, Epigastric discomfort, Headache, Pre-existing disease, Sinus disorder — Feeling: Good
    Free 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
  19. 2021-05-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-23
    Survey response — day 35, dose 2
    MedDRA: Breast disorder, Premenstrual syndrome — Feeling: Good
    Free 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
  21. 2021-05-30
    Survey response — day 42, dose 2
    MedDRA: Arthralgia — Feeling: Good
    Free 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
  22. 2021-07-18
    Survey response — 3 months, dose 2
    MedDRA: Headache, Oropharyngeal pain, Premenstrual syndrome — Feeling: Good
    Free text: Heavy premenstrual symptoms, sore throats & slightly severe headaches.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-04-18
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-28Pfizer-BioNTech
22021-04-18Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Stomach pain followed by several regulator type bowel movements.

Release 8 — day 14, dose 2

2021-05-02

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

2021-05-09

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

2021-05-23

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

2021-05-30

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

2021-07-18

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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDBreast disorder ✓ ✓ ✓
SDEpigastric discomfort ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPremenstrual syndrome ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SDSkin irritation ✓ ✓ ✓
SROAbdominal pain upper ✓ ✓ ✓
SROBowel movement irregularity ✓ ✓ ○

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