48R-33040-37103

4 vaccinations 8 coded responses 39 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 210 / MD
Registered: 2021-02-17

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Pfizer-BioNTech
2021-02-17
Survey response — day 0, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Survey response — day 14, dose 1
MedDRA: Chills, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Dose 2 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-10-08
Survey response — day 14, dose 3
MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Shortness of breath (likely pregnancy related) · Healthcare visit (other): Consulted doctor at regularly scheduled maternal fetal medicine appointment

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-07
Call 1 — Left Voicemail
2021-12-24
Survey response — 3 months, dose 3
MedDRA: Gastrooesophageal reflux disease, Haemorrhoids, Pain in extremity, Pregnancy — Feeling: Good

Free text: Acid reflux, hemorrhoids, leg pain (3rd trimester of pregnancy)

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-13
Dose 4 — Moderna
2022-06-21
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-06-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-04
Survey response — day 21, dose 4
MedDRA: Back pain, Fall, Headache — Feeling: Good

Free text: Headaches and back pain from a fall

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-27
Survey response — day 42, dose 4
MedDRA: Anxiety, Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to work or attend school

Free text: Worsening of postpartum depression and anxiety symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-06-15
Survey response — 12 months, dose 4
MedDRA: Bronchitis, Pneumonia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-06-15
Call case (no matching report) — Successful
Does not wish to fill out VAERS report
2023-06-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-16
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Pfizer-BioNTech
2	2021-03-10	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No
4	2022-06-13	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-08	Successful 2023-06-16	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-15	Successful 2023-06-16	Does not wish to fill out VAERS report

Free text

Release 4 — day 0, dose 1

2021-02-17

Systemic reaction (other): Brain fog

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Brain fog

Release 4 — day 14, dose 1

2021-03-03

Symptoms: Fatigue, chills

Release 10 — day 14, dose 3

2021-10-08

Symptoms: Shortness of breath (likely pregnancy related)

Healthcare visit (other): Consulted doctor at regularly scheduled maternal fetal medicine appointment

Release 10 — 3 months, dose 3

2021-12-24

Symptoms: Acid reflux, hemorrhoids, leg pain (3rd trimester of pregnancy)

Release 12 — day 21, dose 4

2022-07-04

Symptoms: Headaches and back pain from a fall

Release 12 — day 42, dose 4

2022-07-27

Symptoms: Worsening of postpartum depression and anxiety symptoms

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	Anxiety	·	·	✓
SD	Back pain	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chills	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Haemorrhoids	·	·	✓
SD	Headache	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SRO	Feeling abnormal	✓	✓	✓

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