4DV-12548-84125

4 vaccinations 5 coded responses 39 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 210 / MD
Registered: 2021-04-02

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

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 · Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — day 14, dose 1
MedDRA: Dysmenorrhoea, Headache, Heavy menstrual bleeding — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches and heavy menstrual symptoms (cramps and amount)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-23
Health check-in — day 0, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Ageusia, Anosmia, Cough, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — 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: Had a bad cold for over 2 weeks with severe congestion, coughing and lost sense of smell and taste. Rapid covid test was negative.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
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)
2021-08-02
Call 1 — Left Voicemail
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia, Confusional state, Cough, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: Positive covid test sept 22, had about a week of cough, congestion, mild confusion. Still experiencing loss of smell and taste.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Dose 3 — Moderna
2022-04-24
Survey response — 12 months, dose 2
MedDRA: Nasopharyngitis, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Pregnancy, also cold symptoms on and off.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-19
Dose 4 — Moderna
2022-09-19
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fatigue or tiredness

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-04
Survey response — day 14, dose 4
MedDRA: Endodontic procedure, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: New tooth pain requiring a root canal

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-05
Call 1 — Could Not Reach Participant
2022-10-10
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-31
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-19
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-20
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech
3	2021-12-08	Moderna	No
4	2022-09-19	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-23	Successful 2022-04-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-24	Successful 2022-04-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-04	Successful 2022-10-10	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — day 14, dose 1

2021-04-16

Symptoms: Headaches and heavy menstrual symptoms (cramps and amount)

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Had a bad cold for over 2 weeks with severe congestion, coughing and lost sense of smell and taste. Rapid covid test was negative.

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Positive covid test sept 22, had about a week of cough, congestion, mild confusion. Still experiencing loss of smell and taste.

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Pregnancy, also cold symptoms on and off.

Release 12 — day 14, dose 4

2022-10-04

Symptoms: New tooth pain requiring a root canal

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	Ageusia	✓	·	✓
SD	Anosmia	✓	·	✓
SD	Confusional state	·	·	✓
SD	Cough	✓	·	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Endodontic procedure	·	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Nasopharyngitis	✓	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Toothache	·	·	✓

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