EW3-63002-01986

3 vaccinations 5 coded responses 37 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 958 / CA
Registered: 2020-12-18

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-18
Registered in v-safe
2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-18
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Abdominal pain

Adult check-in
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2020-12-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-27
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-19
Survey response — day 42, dose 2
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

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

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: Fair

Adult check-in
2021-11-02
Survey response — day 35, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: New health update: pregnant

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — day 42, dose 3
MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to work or attend school

Free text: Miscarriage

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Survey response — 3 months, dose 3
MedDRA: Abortion spontaneous — 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

Free text: Miscarriage

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Report sent to call center — 3 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 · 1 call case(s)
2021-12-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2020-12-22	priority 2/3
2021-12-28	Successful 2021-12-30	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-20

Systemic reaction (other): Sore throat

Release 4 — day 42, dose 2

2021-02-19

Symptoms: Sore throat, fatigue

Release 10 — day 35, dose 3

2021-11-02

Symptoms: New health update: pregnant

Release 10 — day 42, dose 3

2021-11-09

Symptoms: Miscarriage

Release 10 — 3 months, dose 3

2021-12-28

Symptoms: Miscarriage

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	Fatigue	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pregnancy	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓

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