D8E-30049-50495

4 vaccinations 6 coded responses 32 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 430 / OH
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Pfizer-BioNTech
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Pfizer-BioNTech
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Elevated blood sugar levels (10-20 mg/dl higher than normal)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Elevated blood sugars

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Dose 3 — Pfizer-BioNTech
2022-02-20
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school

Free text: Miscarriage at 8 weeks (due to pregnancy of unknown origins)

MedDRA releases: 2024-11 · check-in free text available
2022-08-28
Survey response — 12 months, dose 3
MedDRA: Pregnancy — 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, Emergency room or emergency department visit, Hospitalization

Free text: Pregnant with di/di twins

MedDRA releases: 2024-11 · check-in free text available
2022-08-28
Report sent to call center — 12 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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-08-29
Call 1 — Left Voicemail
2022-09-08
Dose 4 — Pfizer-BioNTech
Co-administered: Flu:Other
2022-09-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-01
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-06
Survey response — day 28, dose 4
MedDRA: Delivery, Postpartum state, Premature labour — 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 · Hospitalization

Free text: Preterm labor Postpartum conditions due to giving birth

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Report sent to call center — day 28, 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

Hospitalization · 1 call case(s)
2022-10-07
Call 1 — Left Voicemail
2022-10-14
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-21
Survey response — day 42, dose 4
MedDRA: Anaemia, Blood pressure decreased, Dizziness, Heart rate decreased, Postpartum disorder — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Anemia, low blood pressure, low pulse, dizziness due to postpartum complications

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-08
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-02-19	Pfizer-BioNTech
3	2021-08-28	Pfizer-BioNTech	No
4	2022-09-08	Pfizer-BioNTech	Flu:Other

Call center

Reported	Outcome	VAERS-related outcome
2022-08-28	Successful 2022-09-08	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-06	Successful 2022-10-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-21	Successful 2022-10-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Elevated blood sugar levels (10-20 mg/dl higher than normal)

2021-02-21

Systemic reaction (other): Elevated blood sugars

Release 11 — 12 months, dose 2

2022-02-20

Symptoms: Miscarriage at 8 weeks (due to pregnancy of unknown origins)

Release 12 — 12 months, dose 3

2022-08-28

Symptoms: Pregnant with di/di twins

Release 12 — day 28, dose 4

2022-10-06

Symptoms: Preterm labor Postpartum conditions due to giving birth

Release 12 — day 42, dose 4

2022-10-21

Symptoms: Anemia, low blood pressure, low pulse, dizziness due to postpartum complications

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	Anaemia	·	·	✓
SD	Blood pressure decreased	·	·	✓
SD	Delivery	·	·	✓
SD	Dizziness	·	·	✓
SD	Heart rate decreased	·	·	✓
SD	Postpartum disorder	·	·	✓
SD	Postpartum state	·	·	✓
SD	Pregnancy	·	·	✓
SD	Premature labour	·	·	✓
SRO	Blood glucose increased	✓	✓	✓

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