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4QZ-23074-78854

2 vaccinations 10 coded responses 16 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
985 / WA
Registered
2021-11-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-16
    Registered in v-safe
  2. 2021-11-16
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-16
    Survey response — day 0, dose 1
    MedDRA: Chest pain, Gastrooesophageal reflux disease — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Avid reflux, mild chest pain
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-11-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Chest pain, Gastrooesophageal reflux disease, Irritability, Rosacea — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Unusual severe acid reflux, rosacea, burning in the chest, lower back pain, irritability
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-11-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest pain, Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Free text: Severe acid reflux, burning in the chest
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-11-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest pain, Dyspepsia, Gastrooesophageal reflux disease — Feeling: Fair · Nausea, Abdominal pain
    Free text: Severe acid reflux that wasn't there prior to vaccine. Burning in the stomach and chest.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspepsia, Gastrooesophageal reflux disease — Feeling: Fair · Nausea, Abdominal pain
    Free text: Burning in the stomach, severe acid reflux that was not there prior to the shot
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-23
    Survey response — day 7, dose 1
    MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Nausea, Abdominal pain
    Free text: Severe acid reflux that wasn't present before the shot
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-11-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-12-07
    Dose 2 — Pfizer-BioNTech
  11. 2021-12-07
    Survey response — day 0, dose 2
    MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Fatigue or tiredness
    Free text: Acid reflux
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Acid reflux showed up soon after the shot
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nausea — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Nausea
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Severe acid reflux
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-12-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-12-14
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Nausea
    Adult check-in
  18. 2021-12-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-12-28
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-11-16Pfizer-BioNTech No
22021-12-07Pfizer-BioNTech No

Free text

Release 10 — day 0, dose 1

2021-11-16

Systemic reaction (other): Avid reflux, mild chest pain

Release 10 — days 1–6 daily, dose 1

2021-11-17

Systemic reaction (other): Unusual severe acid reflux, rosacea, burning in the chest, lower back pain, irritability

2021-11-18

Systemic reaction (other): Severe acid reflux, burning in the chest

2021-11-19

Systemic reaction (other): Severe acid reflux that wasn't there prior to vaccine. Burning in the stomach and chest.

2021-11-20

Systemic reaction (other): Burning in the stomach, severe acid reflux that was not there prior to the shot

Release 10 — day 7, dose 1

2021-11-23

Systemic reaction (other): Severe acid reflux that wasn't present before the shot

Release 10 — day 0, dose 2

2021-12-07

Systemic reaction (other): Acid reflux

Release 10 — days 1–6 daily, dose 2

2021-12-08

Systemic reaction (other): Acid reflux showed up soon after the shot

2021-12-09

Systemic reaction (other): Nausea

2021-12-11

Systemic reaction (other): Severe acid reflux

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
SROBack pain · · ✓
SROChest pain · · ✓
SRODyspepsia · · ✓
SROGastrooesophageal reflux disease · · ✓
SROIrritability · · ✓
SRONausea · · ✓
SRORosacea · · ✓

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

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