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5PW-33007-87051

4 vaccinations 5 coded responses 25 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
972 / OR
Registered
2021-05-02
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-02
    Registered in v-safe
  3. 2021-05-02
    Dose 2 — Pfizer-BioNTech
  4. 2021-05-02
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  6. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Faeces soft — Feeling: Good
    Free text: Soft stool that Ive had all week. I thought it was my diet so I ate a Bama and some Greek yogurt but it hasnt let up or gotten worse. Im staying hydrated and its not painful or odd colors.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain, Faeces soft — Feeling: Good
    Free text: Still experiencing soft stool but no more abdominal pain which I thought was due to eating cabbage but now realize it was most likely the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-09
    Survey response — day 7, dose 2
    MedDRA: Faeces soft — Feeling: Good
    Free text: Soft stool
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-06
    Survey response — day 35, dose 2
    MedDRA: Myalgia — Feeling: Good
    Free text: I pulled my back picking up my cat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-01
    Survey response — 3 months, dose 2
    MedDRA: Pulmonary pain, Rhinorrhoea, Throat irritation — Feeling: Good
    Free text: Runny nose, scratchy throat, pain in my bronchi. No fever.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-10-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-12-04
    Dose 3 — Moderna
  20. 2022-06-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-11-12
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  22. 2022-11-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Diarrhea
    Adult check-in
  23. 2022-11-21
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  24. 2022-11-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-12-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-12-10
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-12-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-12-24
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  29. 2023-02-11
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  30. 2023-05-13
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Pfizer-BioNTech
22021-05-02Pfizer-BioNTech
32021-12-04Moderna No
42022-11-12Pfizer-BioNTech Flu

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Soft stool that Ive had all week. I thought it was my diet so I ate a Bama and some Greek yogurt but it hasnt let up or gotten worse. Im staying hydrated and its not painful or odd colors.

2021-05-08

Systemic reaction (other): Still experiencing soft stool but no more abdominal pain which I thought was due to eating cabbage but now realize it was most likely the vaccine.

Release 8 — day 7, dose 2

2021-05-09

Systemic reaction (other): Soft stool

Release 8 — day 35, dose 2

2021-06-06

Symptoms: I pulled my back picking up my cat.

Release 9 — 3 months, dose 2

2021-08-01

Symptoms: Runny nose, scratchy throat, pain in my bronchi. No fever.

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
SDMyalgia ✓ ✓ ✓
SDPulmonary pain ✓ · ✓
SDRhinorrhoea ✓ · ✓
SDThroat irritation ✓ · ✓
SROAbdominal pain ✓ ✓ ✓
SROFaeces soft ✓ ✓ ✓

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