ZP4-67179-50940
2 vaccinations
3 coded responses
5 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 074 / NJ
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Pfizer-BioNTech
-
2021-01-29
Registered in v-safe
- 2021-01-29
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Abdominal discomfort, Abdominal distension, Muscle spasms — Feeling: FairFree text: 1/24 stat rested with stomach issues. Cramps and bloated. 1/25 cramps, every time I ate it hurt more cramps, 1/26 bad cramps same symptoms again by the time I drove home from work I was in severe stomach pain than I had to go to bathroom could holdMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Dose 2 — Pfizer-BioNTech
-
2021-02-25
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Erythema, Headache, Medical counselling, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I had headaches, stomach cramps. For 3 days. Now Ive been going to the bathroom more than once everyday. Now today my hands started hurting and they turn Red. From 1050am to 2pm. · Healthcare visit (other): I worked with her in the hospital.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-01
Survey response — day 21, dose 2MedDRA: Pollakiuria, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Going to the bathroom multiple times a day. · Healthcare visit (other): Going for Endoscopy and colonoscopy March 17MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-08
- 2021-08-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-08 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-25 | Unsuccessful | |
| 2021-03-01 | Unsuccessful |
Free text
Release 3 — day 14, dose 1
Symptoms: 1/24 stat rested with stomach issues. Cramps and bloated. 1/25 cramps, every time I ate it hurt more cramps, 1/26 bad cramps same symptoms again by the time I drove home from work I was in severe stomach pain than I had to go to bathroom could hold cut off by CDC
Release 4 — day 14, dose 2
Symptoms: I had headaches, stomach cramps. For 3 days. Now Ive been going to the bathroom more than once everyday. Now today my hands started hurting and they turn Red. From 1050am to 2pm.
Healthcare visit (other): I worked with her in the hospital.
Release 4 — day 21, dose 2
Symptoms: Going to the bathroom multiple times a day.
Healthcare visit (other): Going for Endoscopy and colonoscopy March 17
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pollakiuria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release