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6Y9-24455-00657

2 vaccinations 4 coded responses 13 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
12-15
ZIP prefix
324 / FL
Registered
2021-06-04
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-05-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-04
    Registered in v-safe
  3. 2021-06-04
    Dose 2 — Pfizer-BioNTech
  4. 2021-06-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-06-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: CVS told us to drink 16 oz of water in the hour before injection and this seemed to help
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-06-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Migraine, Vomiting — Feeling: Good · Headache · Be unable to work, Be unable to do your normal daily activities
    Free text: Had a very bad migraine headache with vomiting about an hour following my last check in.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-06-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-06-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-07-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-18
    Survey response — day 42, dose 2
    MedDRA: Migraine prodrome, Paraesthesia, Sinus congestion — Feeling: Fair
    Free text: Stuffy sinuses. Some pre-migraine symptoms in past several days. Previously unreported: Following initial vaccine, had tingly feeling in in legs for several hours.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-09-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-06-07
    Survey response — 12 months, dose 2
    MedDRA: Abdominal pain, Abdominal pain upper, COVID-19, Gastric haemorrhage, Gastritis, Headache, Lactose intolerance, Nasal congestion, Oropharyngeal pain, Small intestinal haemorrhage, Urinary tract pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: End of January 2022, I got COVID and had a headache, stuffy noise, sore throat. March 2022, abdominal & urinary pain. Diagnosed with gastritis, stomach & beginning of small intestine easy to bleed and lactose intolerance. No diagnosis for urinary p
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-14Pfizer-BioNTech
22021-06-04Pfizer-BioNTech

Free text

Release 8 — days 1–6 daily, dose 2

2021-06-05

Systemic reaction (other): CVS told us to drink 16 oz of water in the hour before injection and this seemed to help

2021-06-07

Systemic reaction (other): Had a very bad migraine headache with vomiting about an hour following my last check in.

Release 9 — day 42, dose 2

2021-07-18

Symptoms: Stuffy sinuses. Some pre-migraine symptoms in past several days. Previously unreported: Following initial vaccine, had tingly feeling in in legs for several hours.

Release 11 — 12 months, dose 2

2022-06-07

Symptoms: End of January 2022, I got COVID and had a headache, stuffy noise, sore throat. March 2022, abdominal & urinary pain. Diagnosed with gastritis, stomach & beginning of small intestine easy to bleed and lactose intolerance. No diagnosis for urinary p cut off by CDC

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
SDAbdominal pain · · ✓
SDAbdominal pain upper · · ✓
SDCOVID-19 · · ✓
SDGastric haemorrhage · · ✓
SDGastritis · · ✓
SDHeadache · · ✓
SDLactose intolerance · · ✓
SDMigraine prodrome · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDParaesthesia · · ✓
SDSinus congestion · · ✓
SDSmall intestinal haemorrhage · · ✓
SDUrinary tract pain · · ✓
SROMigraine ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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