ZX7-29890-35183
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 038 / NH
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-01-28
Registered in v-safe
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · FeverFree text: Very runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Eczema — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Eczema due to amadoamine allergy. May or may not be caused by stearic acid in the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-02-01
- 2021-02-02
-
2021-02-05
Survey response — day 7, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: Very runny nose againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
-
2021-02-23
Dose 2 — Pfizer-BioNTech
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-28
- 2021-03-01
- 2021-03-04
- 2021-03-09
- 2021-03-16
- 2021-03-23
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2021-03-30
Survey response — day 35, dose 2MedDRA: Hypersensitivity, Rash — Feeling: GoodFree text: Rash. Could be caused by known allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — day 42, dose 2MedDRA: Abdominal pain upper, Office visit, Self-medication — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Severe stomach pain. Had CATscan, negative results bloodwork negative. Taking Tylenol for pain. GI Consult scheduled 6/01. No idea if it is related. Second dose was 2/23 · Healthcare visit (other): Dr office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-25
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Colonoscopy — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Stomach pain · Healthcare visit (other): Also got priority CATscan same day and colonoscopy. Nothing found.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
- 2022-02-24
-
2022-04-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-23 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Very runny nose
Systemic reaction (other): Eczema due to amadoamine allergy. May or may not be caused by stearic acid in the vaccine.
Release 3 — day 7, dose 1
Systemic reaction (other): Very runny nose again
Release 6 — day 35, dose 2
Symptoms: Rash. Could be caused by known allergies.
Release 7 — day 42, dose 2
Symptoms: Severe stomach pain. Had CATscan, negative results bloodwork negative. Taking Tylenol for pain. GI Consult scheduled 6/01. No idea if it is related. Second dose was 2/23
Healthcare visit (other): Dr office visit
Release 8 — 3 months, dose 2
Symptoms: Stomach pain
Healthcare visit (other): Also got priority CATscan same day and colonoscopy. Nothing found.
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 | Colonoscopy | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Eczema | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release