A56-14923-53908

3 vaccinations 7 coded responses 17 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 972 / OR
Registered: 2021-03-08

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

2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-08
Registered in v-safe
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Survey response — day 14, dose 1
MedDRA: Dizziness, Fatigue, Nausea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, 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: Yesterday I started feeling dizzy, fatigued and nauseated. It was worse today. I got a COVID test and it was negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-28
Survey response — day 21, dose 1
MedDRA: Dizziness, Fatigue, Feeling abnormal, Headache, Malaise, Nausea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, 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 have been sick since March 21. I tested negative for COVID on the 21st. From the 21st through the 25th I had severe fatigue, dizziness, nausea, headache, brain fog, and one day of diarrhea on the 25th. Since the 25th I have improved but still sick.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-04
Dose 2 — Pfizer-BioNTech
2021-04-04
Survey response — day 28, dose 1
MedDRA: Acupuncture, Arthralgia, Office visit — Feeling: Good · Be unable to work, 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: Symptoms: Acupuncture and Zofran helped with side effects. But I developed intense joint pain in my hip and knee on Thursday, April 1. (First time in my life.) It lasted for a day. Im going to get my second dose of the vaccine today. · Healthcare visit (other): Acupuncture and urgent care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-19
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Acupuncture, Nausea — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: On Sunday April 11 I was nauseated all day. On Monday April 12 I had the worst abdominal pain and nausea that Ive ever experienced. By Tuesday I was better, and have felt fine since then. · Healthcare visit (other): Acupuncture which really helped!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Call 1 — Left Voicemail
2021-07-04
Survey response — 3 months, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: Positive pregnancy test July 4

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-03
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Pregnancy, Uterine dilation and curettage — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I was 11.5 weeks pregnant when I had a miscarriage on August 25. · Healthcare visit (other): D&C for miscarriage

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Call 1 — Left Voicemail
2021-12-15
Dose 3 — Pfizer-BioNTech
2022-06-18
Survey response — 6 months, dose 3
MedDRA: COVID-19, Cough, Fatigue, Headache, Hypoaesthesia, Nausea, Pain, Pain in extremity, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Leg pain and numbness. Covid diagnosis with nausea, fatigue, headache, body aches, congestion and cough in May 2022.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-04-04	Pfizer-BioNTech
3	2021-12-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-21	Unsuccessful
2021-03-28	Unsuccessful
2021-04-04	Unsuccessful
2021-04-19	Unsuccessful
2021-10-03	Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-03-21

Symptoms: Yesterday I started feeling dizzy, fatigued and nauseated. It was worse today. I got a COVID test and it was negative.

Release 6 — day 21, dose 1

2021-03-28

Symptoms: I have been sick since March 21. I tested negative for COVID on the 21st. From the 21st through the 25th I had severe fatigue, dizziness, nausea, headache, brain fog, and one day of diarrhea on the 25th. Since the 25th I have improved but still sick. cut off by CDC

Release 6 — day 28, dose 1

2021-04-04

Symptoms: Acupuncture and Zofran helped with side effects. But I developed intense joint pain in my hip and knee on Thursday, April 1. (First time in my life.) It lasted for a day. Im going to get my second dose of the vaccine today.

Healthcare visit (other): Acupuncture and urgent care

Release 7 — day 14, dose 2

2021-04-19

Symptoms: On Sunday April 11 I was nauseated all day. On Monday April 12 I had the worst abdominal pain and nausea that Ive ever experienced. By Tuesday I was better, and have felt fine since then.

Healthcare visit (other): Acupuncture which really helped!

Release 9 — 3 months, dose 2

2021-07-04

Symptoms: Positive pregnancy test July 4

Release 9 — 6 months, dose 2

2021-10-03

Symptoms: I was 11.5 weeks pregnant when I had a miscarriage on August 25.

Healthcare visit (other): D&C for miscarriage

Release 12 — 6 months, dose 3

2022-06-18

Symptoms: Leg pain and numbness. Covid diagnosis with nausea, fatigue, headache, body aches, congestion and cough in May 2022.

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
HCVO	Abortion spontaneous	·	·	✓
HCVO	Acupuncture	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Uterine dilation and curettage	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Abortion spontaneous	·	·	✓
SD	Acupuncture	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Malaise	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓

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