74Q-19002-40916

5 vaccinations 12 coded responses 36 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 631 / MO
Registered: 2021-02-01

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

L9R-11659-30203 Child or adolescent in my care · Male · 2022-07-02

XA4-19564-05023 Child or adolescent in my care · Male · 2022-07-02

Timeline

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

2021-02-01
Registered in v-safe
2021-02-01
Dose 1 — Pfizer-BioNTech
2021-02-01
Survey response — day 0, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Sore thorat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain, Pregnancy, Second trimester pregnancy — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Sore breasts; could be related to pregnancy at 16.5 weeks, but interesting timing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pregnancy, Self-medication — Feeling: Good · Headache

Free text: Headache started overnight, took some tylonol which didnt do much. Again, may be pregnancy related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pregnancy — Feeling: Good · Headache

Free text: Headache probably related to pregnancy or weather

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 7, dose 1
MedDRA: Pregnancy — Feeling: Good · Site: Itching · Headache, Vomiting

Free text: Not sure if its from pregnancy or the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Pfizer-BioNTech
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Muscle or body aches

Free text: A swollen sore lymph node on my clavicle on my right side (same side as my shot)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches

Free text: Just the swollen lymph node on my clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: High blood pressure, unlikely it is correlated with the vaccine and likely related to pregnancy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Survey response — day 42, dose 2
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Likely pregnancy related high blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Call 1 — Left Voicemail
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Good · Headache

Free text: Bruising at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Bruising at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-31
Dose 4 — Pfizer-BioNTech
2022-09-07
Dose 5 — Pfizer-BioNTech
2022-09-14
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-09-21
Survey response — day 14, dose 5
MedDRA: Menstruation delayed — Feeling: Good

Free text: My period was 2 days late

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Pfizer-BioNTech
2	2021-02-22	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-03-31	Pfizer-BioNTech	No
5	2022-09-07	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-31	Unsuccessful
2021-04-05	Unsuccessful

Free text

Release 3 — day 0, dose 1

2021-02-01

Systemic reaction (other): Sore thorat

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): Sore breasts; could be related to pregnancy at 16.5 weeks, but interesting timing

2021-02-03

Systemic reaction (other): Headache started overnight, took some tylonol which didnt do much. Again, may be pregnancy related.

2021-02-07

Systemic reaction (other): Headache probably related to pregnancy or weather

Release 3 — day 7, dose 1

2021-02-08

Systemic reaction (other): Not sure if its from pregnancy or the vaccine

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): A swollen sore lymph node on my clavicle on my right side (same side as my shot)

2021-02-27

Systemic reaction (other): Just the swollen lymph node on my clavicle

Release 6 — day 35, dose 2

2021-03-31

Symptoms: High blood pressure, unlikely it is correlated with the vaccine and likely related to pregnancy

Release 6 — day 42, dose 2

2021-04-05

Symptoms: Likely pregnancy related high blood pressure

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Bruising at injection site

2021-10-03

Systemic reaction (other): Bruising at injection site

Release 12 — day 14, dose 5

2022-09-21

Symptoms: My period was 2 days late

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	Hypertension	✓	✓	✓
SD	Menstruation delayed	·	·	✓
SD	Pregnancy	✓	✓	✓
SRO	Breast pain	○	✓	○
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pregnancy	✓	✓	✓
SRO	Second trimester pregnancy	○	✓	○
SRO	Self-medication	✓	✓	✓

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