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5YK-33028-82284

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
752 / TX
Registered
2021-01-15
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Faeces discoloured, Faeces soft, Flatulence, Gastrointestinal sounds abnormal — Feeling: Good · Site: Pain · Abdominal pain
    Free text: My stomach was rumbling last night, gas and this morning bowel movement was soft and green
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2021-01-23
    Survey response — day 7, dose 1
    MedDRA: Faeces soft — Feeling: Good
    Free text: Soft stool, think its the food I've eaten. I had COVID in November and still dont have taste and smell back. Im eating more spicy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: Dizziness, Ear pain, Impaired work ability, Self-medication, Throat irritation — Feeling: Good · Be unable to work
    Free text: I had a little ear ache and scratchy throat. That went away after gargling and sinus med. I had a little dizziness. I think it was due to ear wax . I feel better today after a Ear cleaning from my Ear Nose Throat Doctor. I didnt work due to dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-04
    Dose 2 — Pfizer-BioNTech
  9. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Faeces soft — Feeling: Good · Site: Pain
    Free text: Soft stool
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Faeces soft — Feeling: Good
    Free text: Soft stool during bowel movement
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: I feel a little light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  14. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-05
    Survey response — 6 months, dose 2
    MedDRA: Dizziness — Feeling: Fair · Be unable to work or attend school
    Free text: I have what might be a Herpes out break. I was dizzy this morning and have been resting.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2022-02-04
    Survey response — 12 months, dose 2
    MedDRA: Herpes simplex, Pre-existing disease — Feeling: Good
    Free text: I have HSV and recently had a break out
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Pfizer-BioNTech
22021-02-04Pfizer-BioNTech

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): My stomach was rumbling last night, gas and this morning bowel movement was soft and green

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Soft stool, think its the food I've eaten. I had COVID in November and still dont have taste and smell back. Im eating more spicy

Release 3 — day 14, dose 1

2021-01-29

Symptoms: I had a little ear ache and scratchy throat. That went away after gargling and sinus med. I had a little dizziness. I think it was due to ear wax . I feel better today after a Ear cleaning from my Ear Nose Throat Doctor. I didnt work due to dizzy

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Soft stool

2021-02-06

Systemic reaction (other): Soft stool during bowel movement

2021-02-08

Systemic reaction (other): I feel a little light headed

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: I have what might be a Herpes out break. I was dizzy this morning and have been resting.

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: I have HSV and recently had a break out

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
SDDizziness ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDHerpes simplex · · ✓
SDImpaired work ability ✓ ✓ ✓
SDPre-existing disease · · ✓
SDSelf-medication ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFaeces discoloured ✓ ✓ ✓
SROFaeces soft ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROGastrointestinal sounds abnormal ✓ ✓ ✓

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