3MB-10355-25215

5 vaccinations 12 coded responses 51 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 947 / CA
Registered: 2021-03-15

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-15
Registered in v-safe
2021-03-15
Dose 1 — Pfizer-BioNTech
2021-03-15
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Fatigue or tiredness

Free text: I forgot to report unusual insomnia. I had insomnia days 1-4, but not last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-11
Dose 2 — Pfizer-BioNTech
2021-04-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 21, dose 2
MedDRA: Anxiety, Breast tenderness, Depression, Euphoric mood, Mood altered, Premenstrual syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worse PMS symptoms. Much worse mood, more anxiety and depression; breast tenderness which i dont usually ever have.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — day 28, dose 2
MedDRA: Emotional distress, Menstrual disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Worse period symptoms. Extreme emotions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-11
Survey response — 3 months, dose 2
MedDRA: Dysmenorrhoea, Fatigue, Oligomenorrhoea — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Longer cycle, increased cramps (I never have cramps), more bleeding. More symptoms during bleeding as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-17
Call successful
Participant prefers to complete VAERS report online
2021-09-26
Dose 3 — Moderna
Co-administered: Flu
2021-09-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-11
Survey response — day 14, dose 3
MedDRA: Insomnia, Menstruation irregular — Feeling: Fair

Free text: Insomnia. I had been having it at the last check in and didn't realize it could be a side effect. It was unusual and not due to stress or my cycle. Also my cycle seems like it may be a week early.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-31
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-27
Dose 4 — Pfizer-BioNTech
2022-03-27
Survey response — day 0, dose 4
MedDRA: Increased appetite, Paraesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Arm tingly; increased appetite

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-03-30
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Good · Site: Pain

Free text: Insomnia.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Survey response — days 1–6 daily, dose 4
MedDRA: Breast tenderness, Dysmenorrhoea, Insomnia — Feeling: Fair · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Cramps like period cramps, unusual breast tenderness, insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Survey response — days 1–6 daily, dose 4
MedDRA: Breast pain, Insomnia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Breast pain, insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Survey response — days 1–6 daily, dose 4
MedDRA: Breast pain, Muscle spasms — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Breast pain, cramps

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-16
Dose 5 — Moderna
Co-administered: Flu
2022-10-16
Survey response — day 0, dose 5
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Tingling in my arm

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Survey response — days 1–6 daily, dose 5
MedDRA: Body temperature decreased — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Low body temperature

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-25
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-06
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-15
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Pfizer-BioNTech
2	2021-04-11	Pfizer-BioNTech
3	2021-09-26	Moderna	Flu
4	2022-03-27	Pfizer-BioNTech	No
5	2022-10-16	Moderna	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): I forgot to report unusual insomnia. I had insomnia days 1-4, but not last night

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Worse PMS symptoms. Much worse mood, more anxiety and depression; breast tenderness which i dont usually ever have.

Release 8 — day 28, dose 2

2021-05-09

Symptoms: Worse period symptoms. Extreme emotions.

Release 9 — 3 months, dose 2

2021-07-11

Symptoms: Longer cycle, increased cramps (I never have cramps), more bleeding. More symptoms during bleeding as well.

Release 10 — day 14, dose 3

2021-10-11

Symptoms: Insomnia. I had been having it at the last check in and didn't realize it could be a side effect. It was unusual and not due to stress or my cycle. Also my cycle seems like it may be a week early.

Release 11 — day 0, dose 4

2022-03-27

Systemic reaction (other): Arm tingly; increased appetite

Release 11 — days 1–6 daily, dose 4

2022-03-30

Systemic reaction (other): Insomnia.

2022-03-31

Systemic reaction (other): Cramps like period cramps, unusual breast tenderness, insomnia

2022-04-01

Systemic reaction (other): Breast pain, insomnia

2022-04-02

Systemic reaction (other): Breast pain, cramps

Release 12 — day 0, dose 5

2022-10-16

Systemic reaction (other): Tingling in my arm

Release 12 — days 1–6 daily, dose 5

2022-10-17

Systemic reaction (other): Low body temperature

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	Anxiety	✓	✓	✓
SD	Breast tenderness	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Emotional distress	✓	✓	✓
SD	Euphoric mood	○	✓	○
SD	Fatigue	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Menstrual disorder	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Mood altered	✓	·	✓
SD	Oligomenorrhoea	✓	✓	✓
SD	Premenstrual syndrome	✓	·	✓
SRO	Body temperature decreased	·	·	✓
SRO	Breast pain	·	·	✓
SRO	Breast tenderness	·	·	✓
SRO	Dysmenorrhoea	·	·	✓
SRO	Increased appetite	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Muscle spasms	·	·	✓
SRO	Paraesthesia	·	·	✓

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