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
-
2021-03-01
Dose 1 — Pfizer-BioNTech
-
2021-03-16
Registered in v-safe
- 2021-03-16
-
2021-03-22
Dose 2 — Pfizer-BioNTech
- 2021-03-24
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Eructation, Flatulence — Feeling: Good · Abdominal painFree 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
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Flatulence — Feeling: Good · Abdominal painFree 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
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal distension, Abdominal pain, Flatulence — Feeling: Good · Abdominal painFree text: Abdominal pain still persists. Only bothers me after eating.. I also have bloating and gas after eating. Will schedule an appointment with Primary DoctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Good · Abdominal painFree text: Still experiencing abdominal pain, but not as much .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — day 7, dose 2MedDRA: Abdominal pain — Feeling: Good · Abdominal painFree text: Abdominal pain comes and goesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-12
- 2021-04-20
- 2021-04-26
- 2021-05-03
- 2021-06-21
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2021-09-20
Survey response — 6 months, dose 2MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Contracted COVID19 from my Grandson.MedDRA releases: 2024-11 · check-in free text available
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2022-03-23
Survey response — 12 months, dose 2MedDRA: Fatigue, Rhinorrhoea — Feeling: FairFree text: Runny nose, and tiredness.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | |
| 2 | 2021-03-22 | Pfizer-BioNTech |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Abdominal pain is more gas pain. Burping and a gassy feeling.
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.
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
Systemic reaction (other): Still experiencing abdominal pain, but not as much .
Release 6 — day 7, dose 2
Systemic reaction (other): Abdominal pain comes and goes
Release 9 — 6 months, dose 2
Symptoms: Contracted COVID19 from my Grandson.
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Eructation | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release