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YE3-29753-99514

2 vaccinations 1 coded response 1 check-in 1 free-text entry 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
430 / OH
Registered
2021-03-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-10
    Dose 2 — Pfizer-BioNTech
  3. 2021-03-15
    Registered in v-safe
  4. 2021-03-20
    Survey response — day 7, dose 2
    MedDRA: Abdominal pain, Chills, Diverticulitis, Emergency care, Fatigue, Medical counselling, Office visit, Pyrexia — Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain
    Free text: I had my second shot on March 10th. I had minor symptoms Thursday and Friday last week. Very tired Saturday. On Sunday the 14th I had severe abdomen pain, chills and my fever progressed through the night. I woke up on the 15th with the same symptoms but worse. I called (b)(6), who sent me to urgent care and ended up in ER. I was diagnosed with Diverticulitis on the Monday the 15th. I was in bed all week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Pfizer-BioNTech
22021-03-10Pfizer-BioNTech

Free text

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): I had my second shot on March 10th. I had minor symptoms Thursday and Friday last week. Very tired Saturday. On Sunday the 14th I had severe abdomen pain, chills and my fever progressed through the night. I woke up on the 15th with the same symptoms but worse. I called (b)(6), who sent me to urgent care and ended up in ER. I was diagnosed with Diverticulitis on the Monday the 15th. I was in bed all week.
redacted (b)(6)

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 pain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODiverticulitis ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROMedical counselling ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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