Y48-17676-18260

3 vaccinations 11 coded responses 16 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 16-20
ZIP prefix: 160 / PA
Registered: 2021-04-12

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-12
Registered in v-safe
2021-04-12
Dose 1 — Pfizer-BioNTech
2021-04-12
Survey response — day 0, dose 1
MedDRA: Diarrhoea, Faeces soft, Frequent bowel movements — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Increased number of bowel movements. Stool was looser and softer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Diarrhoea, Faeces soft — Feeling: Fair · Headache, Muscle or body aches, Nausea, Abdominal pain

Free text: Decreased appetite and loose soft stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Faeces soft — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Loose soft stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Faeces soft — Feeling: Fair · Headache, Muscle or body aches, Nausea, Abdominal pain

Free text: Soft loose stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-26
Survey response — day 14, dose 1
MedDRA: Burning sensation, Diarrhoea, Reaction to previous exposure to any vaccine — Feeling: Fair

Free text: Diarrhea. Ive had soft loose stool since my first dose of the vaccine but its worsening and becoming more along the lines of burning diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Dose 2 — Pfizer-BioNTech
2021-05-03
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Soft loose stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Swelling under armpit on arm where vaccine was administered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Good · Fatigue or tiredness

Free text: Lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 7, dose 2
MedDRA: Decreased appetite, Dizziness — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Dizziness and lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Condition aggravated, Decreased appetite, Fatigue, Headache, Musculoskeletal pain, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Worsening of chronic Lyme disease symptoms lately (headaches, musculoskeletal pain, stomach aches, lack of appetite, fatigue)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-01-11
Dose 3 — Pfizer-BioNTech

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Pfizer-BioNTech
2	2021-05-03	Pfizer-BioNTech
3	2022-01-11	Pfizer-BioNTech	No

Free text

Release 7 — day 0, dose 1

2021-04-12

Systemic reaction (other): Increased number of bowel movements. Stool was looser and softer

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Decreased appetite and loose soft stool

2021-04-16

Systemic reaction (other): Loose soft stool

2021-04-17

Systemic reaction (other): Soft loose stool

Release 8 — day 14, dose 1

2021-04-26

Symptoms: Diarrhea. Ive had soft loose stool since my first dose of the vaccine but its worsening and becoming more along the lines of burning diarrhea

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Soft loose stool

2021-05-06

Systemic reaction (other): Lack of appetite

2021-05-08

Systemic reaction (other): Swelling under armpit on arm where vaccine was administered

2021-05-09

Systemic reaction (other): Lack of appetite

Release 8 — day 7, dose 2

2021-05-10

Systemic reaction (other): Dizziness and lack of appetite

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Worsening of chronic Lyme disease symptoms lately (headaches, musculoskeletal pain, stomach aches, lack of appetite, fatigue)

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 pain upper	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Faeces soft	✓	✓	✓
SRO	Frequent bowel movements	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓

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