2QL-23176-03449

3 vaccinations 7 coded responses 38 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 379 / TN
Registered: 2021-03-31

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Renal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Kidney pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-05
Dose 3 — Moderna
Co-administered: Flu
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school

Adult check-in
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Lymphatic disorder — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Soreness under injected arm, lymphatic drainage

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Survey response — days 1–6 daily, dose 3
MedDRA: Gastrointestinal pain, Injection site pain — Feeling: Good · Muscle or body aches, Abdominal pain

Free text: Painful digestion since vaccine, soreness from lymphatic drainage near injection site

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Abdominal pain

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-02
Survey response — day 28, dose 3
MedDRA: Headache — Feeling: Good

Free text: Splitting headaches every few days for hours at a time.

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-06
Survey response — 3 months, dose 3
MedDRA: Musculoskeletal discomfort, Pelvic discomfort — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Discomfort in hip and back, pelvic floor.

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-12
Call 1 — Left Voicemail
2022-07-06
Survey response — 6 months, dose 3
MedDRA: Office visit, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pregnancy-associated nausea, fatigue, constipation · Healthcare visit (other): Scheduled OB visit

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-05
Survey response — 12 months, dose 3
MedDRA: Presyncope — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-05
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2022-01-05	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-04-06	Successful 2022-07-07	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-06	Successful 2022-07-07	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-05	Successful 2023-01-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Kidney pain

Release 10 — days 1–6 daily, dose 3

2022-01-08

Systemic reaction (other): Soreness under injected arm, lymphatic drainage

2022-01-09

Systemic reaction (other): Painful digestion since vaccine, soreness from lymphatic drainage near injection site

Release 11 — day 28, dose 3

2022-02-02

Symptoms: Splitting headaches every few days for hours at a time.

Release 11 — 3 months, dose 3

2022-04-06

Symptoms: Discomfort in hip and back, pelvic floor.

Release 12 — 6 months, dose 3

2022-07-06

Symptoms: Pregnancy-associated nausea, fatigue, constipation

Healthcare visit (other): Scheduled OB visit

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	Office visit	·	·	✓
SD	Headache	·	·	✓
SD	Musculoskeletal discomfort	·	·	✓
SD	Pelvic discomfort	·	·	✓
SD	Pregnancy	·	·	✓
SD	Presyncope	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Gastrointestinal pain	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Lymphatic disorder	·	·	✓
SRO	Renal pain	✓	✓	✓

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