F5Y-43703-34368

4 vaccinations 9 coded responses 18 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 357 / AL
Registered: 2021-03-23

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

Registered dependents

W94-12107-77601 Child or adolescent in my care · Female · 2022-07-08

GD3-22750-37885 Child or adolescent in my care · Female · 2023-02-01

Timeline

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

2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-23
Registered in v-safe
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Pain in my right arm near the elbow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — day 7, dose 2
MedDRA: Intermenstrual bleeding, Menstruation irregular — Feeling: Good · Joint pains, Muscle or body aches

Free text: My period is abnormal. Was supposed to come on Saturday and I have been spotting for 4 days without actually starting my cycle. Im usually very regular.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headaches and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache, Menstruation delayed — Feeling: Good

Free text: Headaches, fatigue, late period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 35, dose 2
MedDRA: Menstrual disorder — Feeling: Good

Free text: Abnormal period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 42, dose 2
MedDRA: Menstrual disorder — Feeling: Good

Free text: Abnormal period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Dry mouth — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Call 1 — Left Voicemail
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Dry mouth, Dyspepsia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Dry mouth, heartburn

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-14
Call 1 — Left Voicemail
2021-11-09
Dose 3 — Moderna
2021-12-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-08
Survey response — 3 months, dose 3
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I'm 4 months pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-09
Call 1 — Could Not Reach Participant
2022-02-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-10
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-20
Dose 4 — Moderna
2022-11-09
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2023-04-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2021-11-09	Moderna	No
4	2022-10-20	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Pain in my right arm near the elbow.

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): My period is abnormal. Was supposed to come on Saturday and I have been spotting for 4 days without actually starting my cycle. Im usually very regular.

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Headaches and fatigue

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Headaches, fatigue, late period

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Abnormal period

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Abnormal period

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Dry mouth

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Dry mouth, heartburn

Release 11 — 3 months, dose 3

2022-02-08

Symptoms: I'm 4 months pregnant

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	Dry mouth	✓	✓	✓
SD	Dyspepsia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pregnancy	·	·	✓
SRO	Intermenstrual bleeding	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓

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