DKL-29231-79146

3 vaccinations 5 coded responses 35 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 462 / IN
Registered: 2020-12-17

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

2020-12-17
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Exposure during pregnancy, Pain in extremity, Wrong technique in product usage process — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: She gave the vaccine too high. Besides arm soreness- Hard to tell what is vaccine symptoms and not just pregnancy symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-16
Survey response — day 35, dose 2
MedDRA: Delivery — Feeling: Fair · 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, Hospitalization

Free text: Delivered baby

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 35, 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)
2021-02-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Neuropathy peripheral — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neuropathy

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy, Product administered at inappropriate site — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: My vaccine was given too high. I also marked that I was pregnant for this dose. That was in error. I was pregnant for doses 1 and 2

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Good · Headache, Fatigue or tiredness, Nausea

Free text: I don't think my symptoms were related to the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-23

Systemic reaction (other): She gave the vaccine too high. Besides arm soreness- Hard to tell what is vaccine symptoms and not just pregnancy symptoms

Release 4 — day 35, dose 2

2021-02-16

Symptoms: Delivered baby

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): Neuropathy

2021-10-02

Systemic reaction (other): My vaccine was given too high. I also marked that I was pregnant for this dose. That was in error. I was pregnant for doses 1 and 2

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): I don't think my symptoms were related to the vaccine.

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	Delivery	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	Exposure during pregnancy	✓	✓	✓
SRO	Neuropathy peripheral	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pregnancy	·	·	✓
SRO	Product administered at inappropriate site	·	·	✓
SRO	Wrong technique in product usage process	✓	✓	✓

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