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6UL-19147-88891

2 vaccinations 4 coded responses 9 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
152 / PA
Registered
2021-03-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-23
    Registered in v-safe
  3. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain upper, Asthenia, Chills, Diarrhoea, Fatigue, Nausea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: 24-hrs after receiving the vaccine I experienced chills, severe stomach cramping & moderate diarrhea which lasted for 24-hrs. The next day I felt nauseous and low energy. Today, several days out, I am still struggling with fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-03
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-04-08
    Dose 2 — Pfizer-BioNTech
  6. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Loss of appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  9. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  10. 2021-04-24
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-05-01
    Survey response — day 21, dose 2
    MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-10-07
    Survey response — 6 months, dose 2
    MedDRA: Angina pectoris, Chest discomfort, Chest pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Random tightness in chest, pains in heart/chest area, particularly when exercising. · Healthcare visit (other): Making an appointment to discuss with doctor and run some tests
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-10-07
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-12-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Pfizer-BioNTech
22021-04-08Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): 24-hrs after receiving the vaccine I experienced chills, severe stomach cramping & moderate diarrhea which lasted for 24-hrs. The next day I felt nauseous and low energy. Today, several days out, I am still struggling with fatigue.

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Loss of appetite

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Back pain

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Random tightness in chest, pains in heart/chest area, particularly when exercising.
Healthcare visit (other): Making an appointment to discuss with doctor and run some tests

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
HCVOUnevaluable event · · ✓
SDAngina pectoris · · ✓
SDBack pain ✓ ✓ ✓
SDChest discomfort · · ✓
SDChest pain · · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SRONausea ✓ ✓ ✓

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