93A-28192-51016
5 vaccinations
13 coded responses
64 check-ins
12 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 900 / CA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Registered in v-safe
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2021-03-29
Dose 1 — Pfizer-BioNTech
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2021-03-29
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Itching · Muscle or body achesAdult check-in
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2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Depressed mood — Feeling: Good · Site: PainFree text: Felt sad but might not be the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I talked to my friends and apparently sad is a thing!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
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2021-04-19
Dose 2 — Pfizer-BioNTech
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2021-04-19
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Depressed mood — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Sadness but not sure it was fully related, acne??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Emotional distress — Feeling: Fair · Fatigue or tiredness, NauseaFree text: EmotionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: FairFree text: Got my period again after having it during the first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
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2021-07-19
Survey response — 3 months, dose 2MedDRA: COVID-19 — 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 visitFree text: I got Covid.MedDRA releases: 2024-11 · check-in free text available
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2021-07-19
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-28
- 2021-07-29
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2021-07-29
Call successfulCompleted over the phone
- 2021-10-19
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2021-11-15
Dose 3 — Moderna
- 2021-11-15
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2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain, Injection site warmth — Feeling: Good · Site: Pain · Muscle or body achesFree text: The injection site feels warm. That muscle hurts.MedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: Felt the tiredness last night.MedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain, Injection site warmth — Feeling: Good · Site: Pain · Muscle or body achesFree text: Mild muscle pain and heat at injection siteMedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Very mild muscle pain in injection muscleMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
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2022-02-14
Survey response — 3 months, dose 3MedDRA: Abortion spontaneous — 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 · Outpatient clinic or urgent care clinic visitFree text: Had a miscarriage.MedDRA releases: 2024-11 · check-in free text available
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2022-02-14
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-02-15
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-16
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2022-07-21
Dose 4 — Moderna
- 2022-07-21
- 2022-07-22
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
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2022-10-20
Survey response — 3 months, dose 4MedDRA: Pregnancy, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: UTI, possible gallbladder upset, possibly gestational diabetes (I'm pregnant)MedDRA releases: 2024-11 · check-in free text available
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2022-10-20
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-01-19
Survey response — 6 months, dose 4MedDRA: Delivery, Pre-eclampsia — 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 · HospitalizationMedDRA releases: 2024-11
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2023-01-19
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2023-01-20
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2023-03-10
Dose 5 — Moderna
- 2023-03-11
- 2023-03-12
- 2023-03-13
- 2023-03-14
- 2023-03-15
- 2023-03-16
- 2023-03-17
- 2023-03-24
- 2023-03-31
- 2023-04-07
- 2023-04-14
- 2023-04-21
- 2023-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-07-21 | Moderna | No |
| 5 | 2023-03-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-19 | Successful 2021-07-29 |
Completed over the phone |
| 2022-02-14 | Successful 2022-02-15 |
Participant prefers to complete VAERS report online |
| 2022-10-20 | Successful 2022-10-21 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-01-19 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Felt sad but might not be the vaccine
Systemic reaction (other): I talked to my friends and apparently sad is a thing!
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sadness but not sure it was fully related, acne??
Systemic reaction (other): Emotional
Systemic reaction (other): Got my period again after having it during the first shot.
Release 9 — 3 months, dose 2
Symptoms: I got Covid.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The injection site feels warm. That muscle hurts.
Systemic reaction (other): Felt the tiredness last night.
Systemic reaction (other): Mild muscle pain and heat at injection site
Systemic reaction (other): Very mild muscle pain in injection muscle
Release 11 — 3 months, dose 3
Symptoms: Had a miscarriage.
Release 12 — 3 months, dose 4
Symptoms: UTI, possible gallbladder upset, possibly gestational diabetes (I'm pregnant)
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 | COVID-19 | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Emotional distress | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release