FCP-10267-42013

4 vaccinations 3 coded responses 42 check-ins 3 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 027 / MA
Registered: 2021-03-13

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Pfizer-BioNTech
2021-03-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Pfizer-BioNTech
2021-04-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
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, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Fever · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Miscarriage

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-06
Call 1 — Left Voicemail
2021-11-16
Dose 3 — Moderna
Co-administered: Flu
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-23
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-06
Dose 4 — Moderna
Co-administered: Flu
2022-10-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-06
Survey response — 3 months, dose 4
MedDRA: Abdominal pain, Malaise, Nausea — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Feeling sickly- abdominal pain and nausea

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-07
Call 2 — Left Voicemail
2022-12-07
Call 1 — Left Voicemail
2023-03-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Pfizer-BioNTech
2	2021-04-03	Pfizer-BioNTech
3	2021-11-16	Moderna	Flu
4	2022-09-06	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-10-02	Unsuccessful
2022-12-06	Unsuccessful

Free text

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: Miscarriage

Release 10 — days 1–6 daily, dose 3

2021-11-17

Systemic reaction (other): Chest pain

Release 12 — 3 months, dose 4

2022-12-06

Symptoms: Feeling sickly- abdominal pain and nausea

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	Abdominal pain	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	·	·	✓
SRO	Chest pain	·	·	✓

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