ACX-26917-98989

3 vaccinations 6 coded responses 27 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 209 / MD
Registered: 2021-08-17

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

2021-08-04
Dose 1 — Pfizer-BioNTech
2021-08-17
Registered in v-safe
2021-08-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-08-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-25
Dose 2 — Pfizer-BioNTech
2021-08-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-08-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-08-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-29
Survey response — days 1–6 daily, dose 2
MedDRA: Pregnancy — Feeling: Good · Abdominal pain

Free text: pregnant - lower pelvic pain (like contractions but not sure)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-09-22
Survey response — day 28, dose 2
MedDRA: Emergency care, Pregnancy, Premature labour — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Was in the ER having contractions (32 weeks pregnant). Resolved.

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-23
Call successful
Participant prefers to complete VAERS report online
2021-09-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-24
Survey response — 3 months, dose 2
MedDRA: Premature delivery — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Premature birth at 36 weeks

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-01-13
Call 1 — Left Voicemail
2022-01-25
Dose 3 — Moderna
2022-01-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-01-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-08
Survey response — day 42, dose 3
MedDRA: Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: had a fever tmax 102.3F x 2 days (march 6-7) with body aches and no other symptoms. self resolved. rapid home covid test negative 3/7/22.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-26
Survey response — 6 months, dose 3
MedDRA: COVID-19, Malaise, Pain, Pyrexia — 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 visit

Free text: Had COVID 5/22/22 with fever, body aches, malaise x 5 days

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Report sent to call center — 6 months, dose 3
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)
2022-07-27
Call 1 — Left Voicemail
2022-07-27
Call 3 — Left Voicemail
2022-07-27
Call 2 — Left Voicemail
2023-01-27
Survey response — 12 months, dose 3
MedDRA: Premature baby, Premature rupture of membranes — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2024-11
2023-01-27
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2023-01-30
Call 2 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-04	Pfizer-BioNTech	No
2	2021-08-25	Pfizer-BioNTech	No
3	2022-01-25	Moderna	No

Call center

4 call center cases

1 successful · 3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-08-29

Systemic reaction (other): pregnant - lower pelvic pain (like contractions but not sure)

Release 9 — day 28, dose 2

2021-09-22

Symptoms: Was in the ER having contractions (32 weeks pregnant). Resolved.

Release 10 — 3 months, dose 2

2021-11-24

Symptoms: Premature birth at 36 weeks

Release 11 — day 42, dose 3

2022-03-08

Symptoms: had a fever tmax 102.3F x 2 days (march 6-7) with body aches and no other symptoms. self resolved. rapid home covid test negative 3/7/22.

Release 12 — 6 months, dose 3

2022-07-26

Symptoms: Had COVID 5/22/22 with fever, body aches, malaise x 5 days

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	COVID-19	·	·	✓
SD	Emergency care	·	·	✓
SD	Malaise	·	·	✓
SD	Pain	·	·	✓
SD	Pregnancy	·	·	✓
SD	Premature baby	·	·	✓
SD	Premature delivery	·	·	✓
SD	Premature labour	·	·	✓
SD	Premature rupture of membranes	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Pregnancy	✓	·	✓

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