5CS-22681-03291
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 998 / AK
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Pfizer-BioNTech
-
2021-01-07
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · NauseaFree text: WoosieMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Abnormal menstrual clots, Headache, Menstruation irregular — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Mild headache. Also, I was due to start my cycle 2-days post vaccination. It didnt start when expected, and Ive experienced light bleeding with large clots for the past 8-9 days. The large clots combined with light bleeding is unusual for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Dose 2 — Pfizer-BioNTech
-
2021-01-28
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: FairFree text: WoozieMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Survey response — day 35, dose 2MedDRA: Nausea, Paraesthesia, Viral infection — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I think I have a bug of some sort. Son was part of contact tracing and received a negative result so I doubt its covid, but my head is tingling and Im nauseous.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-04-29
-
2021-07-29
Survey response — 6 months, dose 2MedDRA: Abnormal menstrual clots, Intermenstrual bleeding, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Heavy clotting (huge clots) periods with almost no break in bleeding. Result was having an IUD placed. No cause was found. Definitely think it could have been related to vaccine. It started immediately after first dose. · Healthcare visit (other): In person at obgynMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-29
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-09
-
2021-08-10
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech | |
| 2 | 2021-01-28 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Woosie
Release 2 — day 14, dose 1
Symptoms: Mild headache. Also, I was due to start my cycle 2-days post vaccination. It didnt start when expected, and Ive experienced light bleeding with large clots for the past 8-9 days. The large clots combined with light bleeding is unusual for me.
Release 2 — day 0, dose 2
Systemic reaction (other): Woozie
Release 5 — day 35, dose 2
Symptoms: I think I have a bug of some sort. Son was part of contact tracing and received a negative result so I doubt its covid, but my head is tingling and Im nauseous.
Release 9 — 6 months, dose 2
Symptoms: Heavy clotting (huge clots) periods with almost no break in bleeding. Result was having an IUD placed. No cause was found. Definitely think it could have been related to vaccine. It started immediately after first dose.
Healthcare visit (other): In person at obgyn
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 | Abnormal menstrual clots | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Intermenstrual bleeding | ✓ | · | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Viral infection | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release