7TM-18986-93017

5 vaccinations 14 coded responses 41 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 913 / CA
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-22
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Nausea, Diarrhea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Tinnitus — Feeling: Good

Free text: Chest pain, ears ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Pfizer-BioNTech
2021-04-12
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Be unable to work

Free text: Head congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Head discomfort — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Head congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-16
Dose 3 — Pfizer-BioNTech
2022-04-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-07-29
Dose 4 — Pfizer-BioNTech
2022-08-22
Survey response — day 21, dose 4
MedDRA: Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had COVID like symptoms for 2-3 weeks after getting the booster july 29th

MedDRA releases: 2024-11 · check-in free text available
2022-08-22
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-23
Call 1 — Left Voicemail
2022-08-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-09
Dose 5 — Moderna
2022-10-09
Survey response — day 0, dose 5
MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness, Abdominal pain

Free text: Any symptoms I have are likely from pregnancy not the vaccine for today

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Survey response — days 1–6 daily, dose 5
MedDRA: Pregnancy — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I'm also currently pregnant so some abdominal and back pain could be from pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Survey response — days 1–6 daily, dose 5
MedDRA: Pregnancy — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I'm currently pregnant so most of these symptoms are pregnancy related

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Survey response — days 1–6 daily, dose 5
MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Could be pregnancy related I am 31 weeks pregnant today

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — days 1–6 daily, dose 5
MedDRA: Headache, Pregnancy — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I'm 31 weeks pregnant and woke up with a headache and worked out at the gym yesterday as well

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Nausea

Adult check-in
2022-10-16
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-24
Survey response — day 14, dose 5
MedDRA: Pregnancy — Feeling: Good

Free text: Worsening acid reflux and heartburn most likely related to pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 35, dose 5
MedDRA: Dyspnoea, Tonsillar hypertrophy, Vision blurred — Feeling: Fair · Be unable to work or attend school, 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: Blurred vision, hard to breathe, swollen tonsils

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Report sent to call center — day 35, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-21
Call successful
Not applicable - Accidental Reporting
2022-11-21
Call successful
Not applicable - Accidental Reporting
2022-11-22
Survey response — day 42, dose 5
MedDRA: Dizziness, Oropharyngeal pain, Paranasal sinus hypersecretion, Tonsillar hypertrophy, Vision blurred — Feeling: Fair · Be unable to work or attend school, 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: Sore throat, enlarged tonsils, sinus drainage, dizziness, blurry vision

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Report sent to call center — day 42, dose 5
Be unable to work or attend school · 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)
2022-11-23
Call 3 — Left Voicemail
2023-01-09
Survey response — 3 months, dose 5
MedDRA: Gestational hypertension — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-01-09
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-01-10
Call 1 — Left Voicemail
2023-01-10
Call 1 — Left Voicemail
2023-04-10
Survey response — 6 months, dose 5
MedDRA: Hypertension — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-04-10
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-04-11
Call 2 — Left Voicemail
2023-04-11
Call 2 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-12	Pfizer-BioNTech
3	2021-10-16	Pfizer-BioNTech	No
4	2022-07-29	Pfizer-BioNTech	No
5	2022-10-09	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-08-22	Successful 2022-11-21	Not applicable - Accidental Reporting
2022-11-18	Successful 2022-11-21	Not applicable - Accidental Reporting
2022-11-22	Unsuccessful
2023-01-09	Unsuccessful
2023-04-10	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Chest pain, ears ringing

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Head congestion

2021-04-15

Systemic reaction (other): Head congestion

Release 12 — day 21, dose 4

2022-08-22

Symptoms: I had COVID like symptoms for 2-3 weeks after getting the booster july 29th

Release 12 — day 0, dose 5

2022-10-09

Systemic reaction (other): Any symptoms I have are likely from pregnancy not the vaccine for today

Release 12 — days 1–6 daily, dose 5

2022-10-10

Systemic reaction (other): I'm also currently pregnant so some abdominal and back pain could be from pregnancy

2022-10-11

Systemic reaction (other): I'm currently pregnant so most of these symptoms are pregnancy related

2022-10-13

Systemic reaction (other): Could be pregnancy related I am 31 weeks pregnant today

2022-10-14

Systemic reaction (other): I'm 31 weeks pregnant and woke up with a headache and worked out at the gym yesterday as well

Release 12 — day 14, dose 5

2022-10-24

Symptoms: Worsening acid reflux and heartburn most likely related to pregnancy

Release 12 — day 35, dose 5

2022-11-18

Symptoms: Blurred vision, hard to breathe, swollen tonsils

Release 12 — day 42, dose 5

2022-11-22

Symptoms: Sore throat, enlarged tonsils, sinus drainage, dizziness, blurry vision

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	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Gestational hypertension	·	·	✓
SD	Hypertension	·	·	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pregnancy	·	·	✓
SD	Tonsillar hypertrophy	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Pregnancy	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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