663-28259-71748

3 vaccinations 7 coded responses 37 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 212 / MD
Registered: 2021-06-15

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

2021-06-15
Registered in v-safe
2021-06-15
Dose 1 — Pfizer-BioNTech
2021-06-15
Health check-in — day 0, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-18
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good

Free text: Round ligament muscle cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-06
Dose 2 — Pfizer-BioNTech
2021-07-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-07-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Adult check-in
2021-07-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — day 21, dose 2
MedDRA: Extrasystoles, Medical counselling, Palpitations, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My heart occasionally skips a beat. This does not occur during exercise or stressful conditions. There is no chest pain or shortness of breath. Doctor thinks best described as heart palpitations. Cardio appt to follow up. · Healthcare visit (other): Scheduled appointment

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-03
Call 1 — Left Voicemail
2021-08-03
Callback requested for
8:30A ET
2021-08-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-05
Survey response — 3 months, dose 2
MedDRA: Delivery — Feeling: Good

Free text: Delivered my baby safely

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — 6 months, dose 2
MedDRA: Delivery — Feeling: Good

Free text: Gave birth to my healthy daughter and am no longer pregnant.

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Dose 3 — Moderna
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-01-14
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog, Chromaturia, Dizziness, Hyperhidrosis — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Lightheaded, foggy, dark urine, increased sweatinf

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Redness · Headache

Free text: Sweating a lot

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2022-01-21
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-12
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-15	Pfizer-BioNTech
2	2021-07-06	Pfizer-BioNTech	No
3	2022-01-12	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-27	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-18

Systemic reaction (other): Round ligament muscle cramps

Release 9 — day 21, dose 2

2021-07-27

Symptoms: My heart occasionally skips a beat. This does not occur during exercise or stressful conditions. There is no chest pain or shortness of breath. Doctor thinks best described as heart palpitations. Cardio appt to follow up.

Healthcare visit (other): Scheduled appointment

Release 10 — 3 months, dose 2

2021-10-05

Symptoms: Delivered my baby safely

Release 10 — 6 months, dose 2

2022-01-04

Symptoms: Gave birth to my healthy daughter and am no longer pregnant.

Release 10 — days 1–6 daily, dose 3

2022-01-14

Systemic reaction (other): Loss of appetite

2022-01-15

Systemic reaction (other): Lightheaded, foggy, dark urine, increased sweatinf

2022-01-16

Systemic reaction (other): Sweating a lot

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	Unevaluable event	✓	·	✓
SD	Delivery	·	·	✓
SD	Extrasystoles	✓	·	✓
SD	Medical counselling	✓	·	✓
SD	Palpitations	✓	·	✓
SRO	Brain fog	·	·	✓
SRO	Chromaturia	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Muscle spasms	✓	✓	✓

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