YL4-15706-71432
2 vaccinations
4 coded responses
10 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-02-18
Registered in v-safe
-
2021-02-18
Survey response — day 21, dose 1MedDRA: Abdominal pain lower, Constipation, Diarrhoea, Emergency care, Office visit — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: 3 Days after my first COVID vaccine, I had intense pain in the lower left quadrant of my abdomen, so bad I went to the ER; had numerous tests and no cause was identified. 8 days later pain resolved after constipation and 3 days of diahrea. · Healthcare visit (other): inperson doc visit with gynecological oncological surgeon at (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-19
Dose 2 — Pfizer-BioNTech
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Fatigue — Feeling: GoodFree text: Lightheaded ness and fatigue for first 3 days afterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-05-23
Survey response — 3 months, dose 2MedDRA: Eye allergy, Hypersensitivity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Allergic reaction to unknown substances in both eyes for past 3.5 weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-23
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-22
Survey response — 6 months, dose 2MedDRA: Chills, Diarrhoea, Headache, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Diahrea, headaches, chills for 2 weeks bit was tested 4x fir COVID PCR and Rapid and all were negative.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-30
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-19 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-18 | Unsuccessful | |
| 2021-05-23 | Unsuccessful |
Free text
Release 4 — day 21, dose 1
Symptoms: 3 Days after my first COVID vaccine, I had intense pain in the lower left quadrant of my abdomen, so bad I went to the ER; had numerous tests and no cause was identified. 8 days later pain resolved after constipation and 3 days of diahrea.
Healthcare visit (other): inperson doc visit with gynecological oncological surgeon at (b)(6)
redacted (b)(6)
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lightheaded ness and fatigue for first 3 days after
Release 8 — 3 months, dose 2
Symptoms: Allergic reaction to unknown substances in both eyes for past 3.5 weeks.
Release 9 — 6 months, dose 2
Symptoms: Diahrea, headaches, chills for 2 weeks bit was tested 4x fir COVID PCR and Rapid and all were negative.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain lower | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | · | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Eye allergy | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release