923-25806-92928

3 vaccinations 6 coded responses 37 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 953 / CA
Registered: 2021-06-29

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

Timeline

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

2021-06-29
Registered in v-safe
2021-07-01
Dose 1 — Pfizer-BioNTech
2021-07-01
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-07-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-07-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-07-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-07-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-07-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-07-08
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-07-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-07-22
Dose 2 — Pfizer-BioNTech
2021-07-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Adult check-in
2021-07-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-07-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-07-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-07-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-07-29
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-08-05
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Fatigue, Headache, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Im having bad headache, fatigue today and continued diarrhea. I noticed today that I have low grade-fever.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-08-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-08-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-21
Survey response — 3 months, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Fair

Free text: Lack of sleep, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Survey response — 6 months, dose 2
MedDRA: Headache, Insomnia — Feeling: Fair

Free text: Some headache and insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Dose 3 — Pfizer-BioNTech
2022-02-01
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-02-03
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral, Pregnancy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Under armpit (the side of shot) has been painful and swollen. Also I discovered I am pregnant positive now.

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Slightly cough (forgot to note) since the evening of the shot.

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-08
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-02-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-22
Survey response — day 21, dose 3
MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Miscarriage

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-24
Call 1 — Left Voicemail
2022-02-24
Call successful
Does not wish to fill out VAERS report
2022-03-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-04
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-01	Pfizer-BioNTech	No
2	2021-07-22	Pfizer-BioNTech	No
3	2022-02-01	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-22	Successful 2022-02-24	Does not wish to fill out VAERS report

Free text

Release 9 — day 14, dose 2

2021-08-05

Symptoms: Im having bad headache, fatigue today and continued diarrhea. I noticed today that I have low grade-fever.

Release 10 — 3 months, dose 2

2021-10-21

Symptoms: Lack of sleep, fatigue

Release 11 — 6 months, dose 2

2022-01-22

Symptoms: Some headache and insomnia

Release 11 — days 1–6 daily, dose 3

2022-02-03

Systemic reaction (other): Under armpit (the side of shot) has been painful and swollen. Also I discovered I am pregnant positive now.

2022-02-04

Systemic reaction (other): Slightly cough (forgot to note) since the evening of the shot.

Release 11 — day 21, dose 3

2022-02-22

Symptoms: Miscarriage

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	Abortion spontaneous	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Insomnia	·	·	✓
SD	Pyrexia	✓	·	✓
SRO	Axillary pain	·	·	✓
SRO	Cough	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pregnancy	·	·	✓

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