4TJ-65038-85598

3 vaccinations 5 coded responses 27 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 500 / IA
Registered: 2021-04-27

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

2021-04-05
Dose 1 — Pfizer-BioNTech
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-27
Registered in v-safe
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Racing heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Survey response — day 14, dose 2
MedDRA: Headache, Oropharyngeal pain, Rhinorrhoea, Sneezing, Throat irritation — Feeling: Fair

Free text: Sneezing, itchy sore throat, headace, runny nkse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 28, dose 2
MedDRA: Vaginal haemorrhage — Feeling: Good

Free text: Unusual vaginal spotting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Survey response — 6 months, dose 2
MedDRA: Abdominal pain lower, Constipation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Persistent unexplained lower right abdominal pain. Ultrasounds, xrays, blood work all normal. May be related to constipation or change in hormonal birth control or unknown other. Still unresolvdf · Healthcare visit (other): Regual doctor

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-30
Dose 3 — Moderna
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work or attend school

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-31
Survey response — 6 months, dose 3
MedDRA: Chills, Headache, Nasopharyngitis, Nausea, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very bad cold. Fever, headache, body aches, nausea, chills, sore throat, congestion. Lasted 1 week. Negative for covid on 2 rapid tests.

MedDRA releases: 2024-11 · check-in free text available
2022-11-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech
3	2021-11-30	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Racing heartbeat

Release 8 — day 14, dose 2

2021-05-10

Symptoms: Sneezing, itchy sore throat, headace, runny nkse

Release 8 — day 28, dose 2

2021-05-24

Symptoms: Unusual vaginal spotting

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: Persistent unexplained lower right abdominal pain. Ultrasounds, xrays, blood work all normal. May be related to constipation or change in hormonal birth control or unknown other. Still unresolvdf

Healthcare visit (other): Regual doctor

Release 11 — 6 months, dose 3

2022-05-31

Symptoms: Very bad cold. Fever, headache, body aches, nausea, chills, sore throat, congestion. Lasted 1 week. Negative for covid on 2 rapid tests.

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	Abdominal pain lower	·	·	✓
SD	Chills	·	·	✓
SD	Constipation	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Vaginal haemorrhage	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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