EJ9-22283-19559

4 vaccinations 6 coded responses 46 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 122 / NY
Registered: 2021-03-15

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

Registered dependents

LFV-26645-31247 Child or adolescent in my care · · 2022-10-04

Timeline

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

2021-03-15
Registered in v-safe
2021-03-15
Dose 1 — Pfizer-BioNTech
2021-03-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-05
Dose 2 — Pfizer-BioNTech
2021-04-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Physiotherapy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-05
Survey response — 3 months, dose 2
MedDRA: Gastroenteritis viral, Nausea, Pain, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: A stomach flu (nausea, vomiting, body aches)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-02
Dose 3 — Moderna
Co-administered: Flu
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-09
Health check-in — day 7, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — day 21, dose 3
MedDRA: Anovulatory cycle, Menstruation irregular, Oligomenorrhoea, Reaction to previous exposure to any vaccine — Feeling: Good

Free text: Longer than usual menstrual cycle, and based on basal temperature, I didn't ovulate during this cycle, either. This also happened during the menstrual cycle when I received my second dose of the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-03-21
Call 1 — Left Voicemail
2022-06-03
Survey response — 6 months, dose 3
MedDRA: COVID-19, Cough, Fatigue, Headache, Malaise, Myalgia, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Taste disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: My family had covid starting 4/25/22; I had muscle aches and a fever, cough, sore throat, runny nose, headaches, fatigue, and weird taste buds. Two others in my house also had diarrhea. Today I'm starting to feel sick again with similar symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-04
Survey response — day 7, dose 4
MedDRA: Abortion spontaneous — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had a miscarriage a week after getting vaccinated, at 6 weeks pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-12
Survey response — day 21, dose 4
MedDRA: Gastritis, Gastrointestinal disorder, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Digestive problems - gastritis flare up

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Pfizer-BioNTech
2	2021-04-05	Pfizer-BioNTech
3	2021-12-02	Moderna	Flu
4	2022-09-21	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-04-08	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Healthcare visit (other): Physical therapy

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: A stomach flu (nausea, vomiting, body aches)

Release 10 — day 21, dose 3

2021-12-27

Symptoms: Longer than usual menstrual cycle, and based on basal temperature, I didn't ovulate during this cycle, either. This also happened during the menstrual cycle when I received my second dose of the vaccine.

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: My family had covid starting 4/25/22; I had muscle aches and a fever, cough, sore throat, runny nose, headaches, fatigue, and weird taste buds. Two others in my house also had diarrhea. Today I'm starting to feel sick again with similar symptoms.

Release 12 — day 7, dose 4

2022-10-04

Systemic reaction (other): I had a miscarriage a week after getting vaccinated, at 6 weeks pregnant

Release 12 — day 21, dose 4

2022-10-12

Symptoms: Digestive problems - gastritis flare up

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	Physiotherapy	✓	✓	✓
SD	Anovulatory cycle	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastritis	·	·	✓
SD	Gastroenteritis viral	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oligomenorrhoea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Taste disorder	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Abortion spontaneous	·	·	✓

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