Z5J-14321-54306
2 vaccinations
2 coded responses
21 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 950 / CA
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2021-01-04
-
2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
-
2021-01-29
Survey response — day 21, dose 2MedDRA: Abdominal pain, Office visit — Feeling: Poor · 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 visitFree text: Significant abdominal pain. Ive had extensive lab work, all negative. I had colonoscopy on 1/25/21. The gastroenterologist believe that may be due to the prep which may have given me gastritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-05
Survey response — day 28, dose 2MedDRA: Gastritis, Laboratory test, Nasopharyngitis, Sneezing — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I had colonoscopy on 1/25/21. I got significant abdominal pain on 1/27/21. All labs negative. No fever. Seems to be gastritis from the prep solution. Also seem to get a short-lived head cold on the evening of 1/25/21. Again no fever just sneezing and · Healthcare visit (other): LabsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-12
- 2021-02-19
- 2021-04-09
- 2022-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-29 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-02-05 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — day 21, dose 2
Symptoms: Significant abdominal pain. Ive had extensive lab work, all negative. I had colonoscopy on 1/25/21. The gastroenterologist believe that may be due to the prep which may have given me gastritis.
Release 3 — day 28, dose 2
Symptoms: I had colonoscopy on 1/25/21. I got significant abdominal pain on 1/27/21. All labs negative. No fever. Seems to be gastritis from the prep solution. Also seem to get a short-lived head cold on the evening of 1/25/21. Again no fever just sneezing and cut off by CDC
Healthcare visit (other): Labs
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 | Laboratory test | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Gastritis | ✓ | ✓ | ✓ |
| SD | Medical counselling | ○ | ○ | ○ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release