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Z27-14642-51022

2 vaccinations 7 coded responses 15 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
220 / VA
Registered
2021-03-16
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-16
    Registered in v-safe
  3. 2021-03-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-03-22
    Dose 2 — Pfizer-BioNTech
  5. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Abdominal pain
    Adult check-in
  6. 2021-03-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain, Eructation, Flatulence — Feeling: Good · Abdominal pain
    Free text: Abdominal pain is more gas pain. Burping and a gassy feeling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain, Flatulence — Feeling: Good · Abdominal pain
    Free text: Abdominal pain is not as bad as previous days. Not so much gas . But because I can point to a particular spot where the original pain started, I made an appointment with my Primary Doctor.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal distension, Abdominal pain, Flatulence — Feeling: Good · Abdominal pain
    Free text: Abdominal pain still persists. Only bothers me after eating.. I also have bloating and gas after eating. Will schedule an appointment with Primary Doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain — Feeling: Good · Abdominal pain
    Free text: Still experiencing abdominal pain, but not as much .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-29
    Survey response — day 7, dose 2
    MedDRA: Abdominal pain — Feeling: Good · Abdominal pain
    Free text: Abdominal pain comes and goes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-12
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-04-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-20
    Survey response — 6 months, dose 2
    MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Contracted COVID19 from my Grandson.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-03-23
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, and tiredness.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Pfizer-BioNTech
22021-03-22Pfizer-BioNTech

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Abdominal pain is more gas pain. Burping and a gassy feeling.

2021-03-26

Systemic reaction (other): Abdominal pain is not as bad as previous days. Not so much gas . But because I can point to a particular spot where the original pain started, I made an appointment with my Primary Doctor.

2021-03-27

Systemic reaction (other): Abdominal pain still persists. Only bothers me after eating.. I also have bloating and gas after eating. Will schedule an appointment with Primary Doctor

2021-03-28

Systemic reaction (other): Still experiencing abdominal pain, but not as much .

Release 6 — day 7, dose 2

2021-03-29

Systemic reaction (other): Abdominal pain comes and goes

Release 9 — 6 months, dose 2

2021-09-20

Symptoms: Contracted COVID19 from my Grandson.

Release 11 — 12 months, dose 2

2022-03-23

Symptoms: Runny nose, and tiredness.

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
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDRhinorrhoea · · ✓
SROAbdominal distension ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SROEructation ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓

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