45H-28021-84882

4 vaccinations 5 coded responses 23 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 015 / MA
Registered: 2021-11-14

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

Registered dependents

KQB-16310-41263 Child or adolescent in my care · Male · 2021-11-14

6LU-20018-01052 Child or adolescent in my care · Male · 2022-06-20

Timeline

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

2021-02-25
Dose 1 — Pfizer-BioNTech
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-11-12
Dose 3 — Pfizer-BioNTech
2021-11-14
Registered in v-safe
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Condition aggravated, Pre-existing disease — Feeling: Poor · Nausea, Abdominal pain · Be unable to work or attend school

Free text: I have endometriosis, I think the booster shot may have caused a flair up in my symptoms and abdominal pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Menstruation irregular, Pre-existing disease — Feeling: Fair · Nausea, Abdominal pain

Free text: I have endometriosis and I believe the Covid vaccine may have set off a flare up of my symptoms my menstrual cycle is also a little thrown off

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — day 7, dose 3
MedDRA: Abdominal pain, Arthralgia, Condition aggravated, Menstruation irregular, Pain, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain

Free text: I continue to have abdominal pain, joint and body aches. I have endometriosis and I do believe the booster set off a flare up of my symptoms I'm menstrual cycle is also off as well

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-11
Survey response — 3 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Diagnosed with Covid on 1/30

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-02-18
Call 1 — Left Voicemail
2022-05-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-16
Dose 4 — Pfizer-BioNTech
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-16
Survey response — day 28, dose 4
MedDRA: Respiratory syncytial virus infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diagnosed with RSV

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech	No
2	2021-03-18	Pfizer-BioNTech	No
3	2021-11-12	Pfizer-BioNTech	No
4	2022-09-16	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-17

Systemic reaction (other): I have endometriosis, I think the booster shot may have caused a flair up in my symptoms and abdominal pain

2021-11-18

Systemic reaction (other): I have endometriosis and I believe the Covid vaccine may have set off a flare up of my symptoms my menstrual cycle is also a little thrown off

Release 10 — day 7, dose 3

2021-11-19

Systemic reaction (other): I continue to have abdominal pain, joint and body aches. I have endometriosis and I do believe the booster set off a flare up of my symptoms I'm menstrual cycle is also off as well

Release 11 — 3 months, dose 3

2022-02-11

Symptoms: Diagnosed with Covid on 1/30

Release 12 — day 28, dose 4

2022-10-16

Symptoms: Diagnosed with RSV

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	COVID-19	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Menstruation irregular	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	·	·	✓

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