69H-23277-59300
3 vaccinations
2 coded responses
26 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 462 / IN
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Pfizer-BioNTech
-
2021-04-08
Registered in v-safe
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-11
-
2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Scab, Tenderness — Feeling: Good · Fatigue or tirednessFree text: A strange spot has formed on my stomach, I'm really unsure how to describe it but it is red around the edges and has a yellowish scab like covering. I haven't injured myself, so it seemed an odd thing to see when I woke up. It's a bit sore, but only when touched. No idea if it even could be vaccine related, let alone if it is, but I was told to report anything out of the ordinary.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 7, dose 1MedDRA: Contusion, Erythema, Gastric ulcer — Feeling: Good · Fatigue or tirednessFree text: Weird sore that manifested in my stomach is still there, it is not healing, it is yellowish-brown, concave, and very red around the edges. I can provide pics if necessary.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-04-28
Dose 2 — Pfizer-BioNTech
- 2021-04-28
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-01
- 2021-05-02
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-07-28
-
2021-08-18
Dose 3 — Pfizer-BioNTech
- 2021-10-29
- 2021-11-17
- 2022-02-16
- 2022-08-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech | |
| 3 | 2021-08-18 | Pfizer-BioNTech | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): A strange spot has formed on my stomach, I'm really unsure how to describe it but it is red around the edges and has a yellowish scab like covering. I haven't injured myself, so it seemed an odd thing to see when I woke up. It's a bit sore, but only when touched. No idea if it even could be vaccine related, let alone if it is, but I was told to report anything out of the ordinary.
Release 7 — day 7, dose 1
Systemic reaction (other): Weird sore that manifested in my stomach is still there, it is not healing, it is yellowish-brown, concave, and very red around the edges. I can provide pics if necessary.
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 |
|---|---|---|---|---|
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Gastric ulcer | ✓ | ✓ | ✓ |
| SRO | Rash | ○ | ○ | ○ |
| SRO | Scab | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release