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6U7-22709-95536

1 vaccination 3 coded responses 3 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
863 / AZ
Registered
2021-12-02
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-27
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-02
    Registered in v-safe
  3. 2021-12-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Discomfort, Dyspnoea, Speech disorder — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Persistent Cough that is very uncomfortable and affects my conversation. Feel like sometimes I'm unable to breathe, I have to consciously be remind my busy to take deep breaths.
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-12-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal tenderness, Cough, Dyspnoea — Feeling: Poor · Fever · Headache · Be unable to do your normal daily activities
    Free text: Persistent cough that causes tenderness to abdomen, intermittent SOB
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-12-06
    Survey response — day 7, dose 1
    MedDRA: Abdominal tenderness, Cough, Respiratory disorder — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Persistent cough that causes abdominal tenderness and breathing issues
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-11-27Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 1

2021-12-02

Systemic reaction (other): Persistent Cough that is very uncomfortable and affects my conversation. Feel like sometimes I'm unable to breathe, I have to consciously be remind my busy to take deep breaths.

2021-12-03

Systemic reaction (other): Persistent cough that causes tenderness to abdomen, intermittent SOB

Release 10 — day 7, dose 1

2021-12-06

Systemic reaction (other): Persistent cough that causes abdominal tenderness and breathing issues

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
SROAbdominal tenderness · · ✓
SROCough · · ✓
SRODiscomfort · · ✓
SRODyspnoea · · ✓
SRORespiratory disorder · · ✓
SROSpeech disorder · · ✓

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