Y2J-10941-41605
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 208 / MD
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Pfizer-BioNTech
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-19
- 2021-04-20
- 2021-04-27
-
2021-05-04
Dose 2 — Pfizer-BioNTech
- 2021-05-04
-
2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Good · Site: Pain · HeadacheFree text: Feeling of indigestion earlier in the day when I hadnt eaten anything.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
-
2021-05-11
Survey response — day 7, dose 2MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to workFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
-
2021-06-15
Survey response — day 42, dose 2MedDRA: Pain, Pain in extremity — Feeling: GoodFree text: Ache in my arm where I got the shot. It has bothered me but Ive just kind of blown it off because its not bad. It does increase with certain movements. I can still function without any real issues, but thought I should mention it. Thank you.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-03
Survey response — 3 months, dose 2MedDRA: Abdominal discomfort, Diarrhoea, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach upset, headaches, diarrheaMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-03
-
2022-05-04
Survey response — 12 months, dose 2MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continuing coughing which could be allergiesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Pfizer-BioNTech | |
| 2 | 2021-05-04 | Pfizer-BioNTech |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling of indigestion earlier in the day when I hadnt eaten anything.
Release 8 — day 7, dose 2
Systemic reaction (other): Dizziness
Release 9 — day 42, dose 2
Symptoms: Ache in my arm where I got the shot. It has bothered me but Ive just kind of blown it off because its not bad. It does increase with certain movements. I can still function without any real issues, but thought I should mention it. Thank you.
Release 9 — 3 months, dose 2
Symptoms: Stomach upset, headaches, diarrhea
Release 11 — 12 months, dose 2
Symptoms: Continuing coughing which could be allergies
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 |
|---|---|---|---|---|
| SD | Abdominal discomfort | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release