DBA-12210-90685

4 vaccinations 10 coded responses 28 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 117 / NY
Registered: 2021-04-26

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

Registered dependents

L32-11020-49400 Child or adolescent in my care · Female · 2022-07-06

Timeline

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

2021-03-31
Dose 1 — Pfizer-BioNTech
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-26
Registered in v-safe
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Uterine spasm — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Uterine cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 28, dose 2
MedDRA: Migraine, Muscle fatigue, Muscle tightness — Feeling: Fair · Be unable to do your normal daily activities

Free text: My back muscles are tightening up in knots the way they did after the doses. My legs have muscle fatigue when they shouldnt. Ive had 3 migraines since my 2nd dose. Menstrual cycle is normal, but did have cramps 24 hrs after 2nd dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Migraine, Pre-existing disease — Feeling: Good · Be unable to work or attend school

Free text: More frequent migraines. Probably 1 every other week on average, when I used to average 1 every other month. Experienced none during pregnancy & 1 year postpartum in 2020/2021. Received vaccines in March/April 2021.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Back pain, Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Migraine, Stress — Feeling: Fair · 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: My menstrual cycle has been off. Times it's really heavy and painful or late. That could be because of stress. I also have a lot of back pain, in my lower spine. I'm seeing a neurologist. Could be from postpartum. Migraines 1x a month.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-26
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-09
Dose 3 — Pfizer-BioNTech
2021-12-20
Survey response — day 7, dose 3
MedDRA: Angina pectoris, Asthma, Dyspnoea, Musculoskeletal chest pain, Pre-existing disease, Pulmonary pain — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sudden sharp pain near my left lung/heart area, on the side of my rib cage. It's happened 3 times over the last 24 hours. Followed by shortness of breath. I have asthma so it felt like that but went away on its own.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-22
Call successful
Participant prefers to complete VAERS report online
2021-12-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-01
Survey response — day 21, dose 3
MedDRA: Chest discomfort, Dizziness, Dyspnoea, Fatigue, Unevaluable event — Feeling: Poor · 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: Symptoms: Today, I started experiencing tightness in the middle of my chest, with shortness of breath and dizziness. I took my inhaler. It's slightly better but not entirely. I am also tired. · Healthcare visit (other): Closest appointment with cardiologist is 1/18/2022, but I don't think that's soon enough. I will calm the doctor tomorrow.

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-01-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-09
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-12
Dose 4 — Pfizer-BioNTech
2022-09-13
Survey response — days 1–6 daily, dose 4
MedDRA: Pain, Pregnancy — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Symptoms are really mild compared to original Pfizer vaccine. Can't tell if it's pregnancy pains or from the booster.

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased, Pregnancy — Feeling: Good

Free text: Rapid heart rate. 97-99 BPM at rest on the couch in the morning. I am also pregnant. I'm not sure if it's vaccine related or just pregnancy related.

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Survey response — days 1–6 daily, dose 4
MedDRA: Muscle spasms, Pregnancy — Feeling: Fair · Muscle or body aches

Free text: Leg cramps and Charlie horses in calves. But I am also pregnant so I'm not sure if it's related to pregnancy.

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-17
Survey response — day 35, dose 4
MedDRA: Cough, Influenza virus test negative, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Unrelated to vaccine: Caught a cold from my toddler. Serious cough and runny nose. (Tested negative for flu and covid).

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-18
Call 1 — Left Voicemail
2022-10-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-12-09	Pfizer-BioNTech	No
4	2022-09-12	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Uterine cramps

Release 8 — day 28, dose 2

2021-05-19

Symptoms: My back muscles are tightening up in knots the way they did after the doses. My legs have muscle fatigue when they shouldnt. Ive had 3 migraines since my 2nd dose. Menstrual cycle is normal, but did have cramps 24 hrs after 2nd dose.

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: More frequent migraines. Probably 1 every other week on average, when I used to average 1 every other month. Experienced none during pregnancy & 1 year postpartum in 2020/2021. Received vaccines in March/April 2021.

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: My menstrual cycle has been off. Times it's really heavy and painful or late. That could be because of stress. I also have a lot of back pain, in my lower spine. I'm seeing a neurologist. Could be from postpartum. Migraines 1x a month.

Release 10 — day 7, dose 3

2021-12-20

Systemic reaction (other): Sudden sharp pain near my left lung/heart area, on the side of my rib cage. It's happened 3 times over the last 24 hours. Followed by shortness of breath. I have asthma so it felt like that but went away on its own.

Release 10 — day 21, dose 3

2022-01-01

Symptoms: Today, I started experiencing tightness in the middle of my chest, with shortness of breath and dizziness. I took my inhaler. It's slightly better but not entirely. I am also tired.

Healthcare visit (other): Closest appointment with cardiologist is 1/18/2022, but I don't think that's soon enough. I will calm the doctor tomorrow.

Release 12 — days 1–6 daily, dose 4

2022-09-13

Systemic reaction (other): Symptoms are really mild compared to original Pfizer vaccine. Can't tell if it's pregnancy pains or from the booster.

2022-09-16

Systemic reaction (other): Rapid heart rate. 97-99 BPM at rest on the couch in the morning. I am also pregnant. I'm not sure if it's vaccine related or just pregnancy related.

2022-09-17

Systemic reaction (other): Leg cramps and Charlie horses in calves. But I am also pregnant so I'm not sure if it's related to pregnancy.

Release 12 — day 35, dose 4

2022-10-17

Symptoms: Unrelated to vaccine: Caught a cold from my toddler. Serious cough and runny nose. (Tested negative for flu and covid).

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	Unevaluable event	·	·	✓
SD	Back pain	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysmenorrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Migraine	✓	✓	✓
SD	Muscle fatigue	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Stress	·	·	✓
SRO	Angina pectoris	·	·	✓
SRO	Asthma	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Muscle spasms	·	·	✓
SRO	Musculoskeletal chest pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pregnancy	·	·	✓
SRO	Pulmonary pain	·	·	✓
SRO	Uterine spasm	✓	✓	✓

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