5RC-13362-85586
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 030 / NH
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Pfizer-BioNTech
- 2021-03-25
-
2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain in extremity — Feeling: Good · Site: PainFree text: My arm hurts when anyone or anything ( my cat ) brushes to it or sit gets touched. Other than that I was very tiredtoday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
-
2021-04-08
Survey response — day 14, dose 1MedDRA: Abdominal discomfort, Headache, Self-medication, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Upset stomach , vomiting just a little, than a headache that lasted all day even while taking Advil. Just sick for a little under 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — day 21, dose 1MedDRA: Colitis, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Colitis · Healthcare visit (other): Visit with my doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-22
-
2021-04-27
Dose 2 — Pfizer-BioNTech
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
-
2021-05-11
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Diarrhoea — Feeling: FairFree text: Stomach ache, diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
-
2021-07-28
Survey response — 3 months, dose 2MedDRA: Abdominal discomfort, Headache, Pain in extremity, Vomiting — Feeling: FairFree text: Upset stomach ( I puked ) and headache sore arm, I got a tetanus shot the day before that.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-26
-
2021-12-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Pfizer-BioNTech | |
| 2 | 2021-04-27 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My arm hurts when anyone or anything ( my cat ) brushes to it or sit gets touched. Other than that I was very tiredtoday.
Release 7 — day 14, dose 1
Symptoms: Upset stomach , vomiting just a little, than a headache that lasted all day even while taking Advil. Just sick for a little under 24 hours
Release 7 — day 21, dose 1
Release 8 — day 14, dose 2
Symptoms: Stomach ache, diarrhea
Release 9 — 3 months, dose 2
Symptoms: Upset stomach ( I puked ) and headache sore arm, I got a tetanus shot the day before that.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Colitis | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release