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YQW-16246-94692

1 vaccination 6 coded responses 9 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
337 / FL
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-19
    Registered in v-safe
  3. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Immunisation reaction — Feeling: Good
    Free text: I want to report symptoms from the previous days and a bad reaction to my vaccine on the day of the vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-08
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-04-15
    Survey response — day 28, dose 1
    MedDRA: Abdominal pain, Bloody discharge — Feeling: Fair
    Free text: Abdominal cramping and bloody discharge 2 days. Have been post menopausal for 10 years without ever an incident of bloody discharge or cramping
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-23
    Survey response — day 35, dose 1
    MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Fair
    Free text: I use to have fibromyalgia and chronic fatigue syndrome, but have not experienced any symptoms in a little over 10 years. Roughly 3-4 weeks ago I started having intermittent fibromyalgia pain again. I have a high pain tolerance and will manage it w
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-29
    Survey response — day 42, dose 1
    MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Fair
    Free text: Pain from Fibromyalgia, Fibromyalgia, Fibromyalgia. I am tough and do. It let things stop me, but the pain is bothersome
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-17
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-09-16
    Survey response — 6 months, dose 1
    MedDRA: Angina pectoris, Back pain, Chest pain, Musculoskeletal pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Heart pain and Chest pain that goes through to my back by my left shoulder blade
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-03-21
    Survey response — 12 months, dose 1
    MedDRA: Breast pain — Feeling: Good
    Free text: Breast pain under the mipples
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Pfizer-BioNTech

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): I want to report symptoms from the previous days and a bad reaction to my vaccine on the day of the vaccination

Release 7 — day 28, dose 1

2021-04-15

Symptoms: Abdominal cramping and bloody discharge 2 days. Have been post menopausal for 10 years without ever an incident of bloody discharge or cramping

Release 7 — day 35, dose 1

2021-04-23

Symptoms: I use to have fibromyalgia and chronic fatigue syndrome, but have not experienced any symptoms in a little over 10 years. Roughly 3-4 weeks ago I started having intermittent fibromyalgia pain again. I have a high pain tolerance and will manage it w cut off by CDC

Release 8 — day 42, dose 1

2021-04-29

Symptoms: Pain from Fibromyalgia, Fibromyalgia, Fibromyalgia. I am tough and do. It let things stop me, but the pain is bothersome

Release 9 — 6 months, dose 1

2021-09-16

Symptoms: Heart pain and Chest pain that goes through to my back by my left shoulder blade

Release 11 — 12 months, dose 1

2022-03-21

Symptoms: Breast pain under the mipples

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
SDAbdominal pain ✓ ✓ ✓
SDAngina pectoris · · ✓
SDBack pain · · ✓
SDBloody discharge ✓ ✓ ✓
SDBreast pain · · ✓
SDChest pain · · ✓
SDCondition aggravated ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDMusculoskeletal pain · · ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ○
SROImmunisation reaction · · ✓

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