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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

  1. 2021-01-27
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-18
    Registered in v-safe
  3. 2021-02-18
    Survey response — day 21, dose 1
    MedDRA: 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 visit
    Free 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
  4. 2021-02-18
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-19
    Dose 2 — Pfizer-BioNTech
  6. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Fatigue — Feeling: Good
    Free text: Lightheaded ness and fatigue for first 3 days after
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-23
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free 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
  13. 2021-05-23
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-08-22
    Survey response — 6 months, dose 2
    MedDRA: Chills, Diarrhoea, Headache, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school
    Free 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
  15. 2021-08-30
  16. 2022-02-19
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Pfizer-BioNTech
22021-02-19Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-02-18 Unsuccessful
2021-05-23 Unsuccessful

Free text

Release 4 — day 21, dose 1

2021-02-18

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

2021-02-24

Systemic reaction (other): Lightheaded ness and fatigue for first 3 days after

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: Allergic reaction to unknown substances in both eyes for past 3.5 weeks.

Release 9 — 6 months, dose 2

2021-08-22

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAbdominal pain lower ✓ ✓ ✓
SDChills ✓ · ✓
SDConstipation ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDEye allergy ✓ ✓ ✓
SDHeadache ✓ · ✓
SDHypersensitivity ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ · ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓

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