773-26834-79139

3 vaccinations 6 coded responses 33 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 980 / WA
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Muscle spasms — Feeling: Good

Free text: Leg cramps, muscle cramps when I sleep

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Dose 3 — Pfizer-BioNTech
Co-administered: Tetanus
2021-10-21
Survey response — days 1–6 daily, dose 3
MedDRA: Hallucination — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hallucinations

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Dysmenorrhoea, Menstruation irregular — Feeling: Fair · Abdominal pain

Free text: I got my period early. It is heavy with cramps. I rarely get it early so assuming this is a side effect.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-10
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-17
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Survey response — 3 months, dose 3
MedDRA: Clostridium difficile infection, Sinusitis — Feeling: Good · Be unable to work or attend school

Free text: Sinus infection followed by a c diff infection from prolonged antibiotics

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — 6 months, dose 3
MedDRA: Heavy menstrual bleeding, Medical counselling, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heavy vaginal bleeding. I have fibroids which an OB said may or may not be causing the heavy bleeding. I am getting an ablation. If that does not work, my uterus will come out. I am on meds to stop the bleeding temporarily.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-22
Call 1 — Left Voicemail
2022-05-04
Call successful
Participant prefers to complete VAERS report online
2022-10-20
Survey response — 12 months, dose 3
MedDRA: COVID-19, Fungal skin infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Post COVID fungal rash that won't go away

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech
3	2021-10-20	Pfizer-BioNTech	Tetanus

Call center

Reported	Outcome	VAERS-related outcome
2022-04-20	Successful 2022-05-04	Participant prefers to complete VAERS report online
2022-10-20	Unsuccessful

Free text

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Leg cramps, muscle cramps when I sleep

Release 10 — days 1–6 daily, dose 3

2021-10-21

Systemic reaction (other): Hallucinations

2021-10-26

Systemic reaction (other): I got my period early. It is heavy with cramps. I rarely get it early so assuming this is a side effect.

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Sinus infection followed by a c diff infection from prolonged antibiotics

Release 11 — 6 months, dose 3

2022-04-20

Symptoms: Heavy vaginal bleeding. I have fibroids which an OB said may or may not be causing the heavy bleeding. I am getting an ablation. If that does not work, my uterus will come out. I am on meds to stop the bleeding temporarily.

Release 12 — 12 months, dose 3

2022-10-20

Symptoms: Post COVID fungal rash that won't go away

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	Clostridium difficile infection	·	·	✓
SD	COVID-19	·	·	✓
SD	Fungal skin infection	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Medical counselling	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Dysmenorrhoea	·	·	✓
SRO	Hallucination	·	·	✓
SRO	Menstruation irregular	·	·	✓

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