5ET-18429-83522

3 vaccinations 10 coded responses 31 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 330 / FL
Registered: 2021-04-15

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

VGN-16781-87492 Child or adolescent in my care · Male · 2022-01-17

Timeline

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

2021-04-15
Registered in v-safe
2021-04-16
Dose 1 — Pfizer-BioNTech
2021-04-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 28, dose 2
MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat cold symptoms two separate times within two weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 35, dose 2
MedDRA: Chest discomfort, Laryngitis, Lower respiratory tract infection, Sinusitis — Feeling: Fair

Free text: Heavy chest cold with sinus infection. Larangitis. 10+ days of symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Survey response — day 42, dose 2
MedDRA: Cough — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Call 1 — Left Voicemail
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-13
Dose 3 — Moderna
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Intermenstrual bleeding, Vaccine positive rechallenge — Feeling: Good

Free text: I have noticed menstrual spotting after the COVID shot. This is the third time I noticed this happening on day two after the shot.

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-19
Survey response — days 1–6 daily, dose 3
MedDRA: Intermenstrual bleeding — Feeling: Good

Free text: Menstrual spotting

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Survey response — day 7, dose 3
MedDRA: Intermenstrual bleeding — Feeling: Good

Free text: Menstrual spotting

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — day 21, dose 3
MedDRA: Rash, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hives skin rash all over my body

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-07
Call 1 — Left Voicemail
2022-01-10
Survey response — day 28, dose 3
MedDRA: Back pain, Chills, Dyspnoea, Fatigue, Headache, Pain, Productive cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, body aches, chills, headache, productive cough, runny nose, congested, shortness of breath, back pain, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-24
Survey response — day 42, dose 3
MedDRA: COVID-19, Chest discomfort, Chest pain, Dyspnoea, Fatigue, General physical health deterioration — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diagnosed with COVID on 01/09 and health has declined over the weeks: shortness of breath, tightness in chest, fatigue, chest pain.

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-13
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Pericarditis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pericarditis, shortness of breath

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Pfizer-BioNTech
2	2021-05-07	Pfizer-BioNTech
3	2021-12-13	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-06-04

Symptoms: Sore throat cold symptoms two separate times within two weeks

Release 9 — day 35, dose 2

2021-06-11

Symptoms: Heavy chest cold with sinus infection. Larangitis. 10+ days of symptoms

Release 9 — day 42, dose 2

2021-06-20

Symptoms: Cough

Release 10 — days 1–6 daily, dose 3

2021-12-17

Systemic reaction (other): I have noticed menstrual spotting after the COVID shot. This is the third time I noticed this happening on day two after the shot.

2021-12-19

Systemic reaction (other): Menstrual spotting

Release 10 — day 7, dose 3

2021-12-20

Systemic reaction (other): Menstrual spotting

Release 10 — day 21, dose 3

2022-01-03

Symptoms: Hives skin rash all over my body

Release 10 — day 28, dose 3

2022-01-10

Symptoms: Fever, body aches, chills, headache, productive cough, runny nose, congested, shortness of breath, back pain, fatigue.

Release 11 — day 42, dose 3

2022-01-24

Symptoms: Diagnosed with COVID on 01/09 and health has declined over the weeks: shortness of breath, tightness in chest, fatigue, chest pain.

Release 12 — 6 months, dose 3

2022-06-13

Symptoms: Pericarditis, shortness of breath

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	Back pain	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	General physical health deterioration	·	·	✓
SD	Headache	·	·	✓
SD	Laryngitis	✓	✓	✓
SD	Lower respiratory tract infection	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pericarditis	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Urticaria	·	·	✓
SRO	Intermenstrual bleeding	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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