FEK-20105-67352

1 vaccination 14 coded responses 16 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 300 / GA
Registered: 2021-08-08

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

2021-08-08
Registered in v-safe
2021-08-08
Dose 1 — Pfizer-BioNTech
2021-08-08
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Sore at injection site

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Sore muscle where I got injected

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good

Free text: Injection arm muscle is slightly sore

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Speech disorder — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Neurological - speech affected and brain fog

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Speech disorder — Feeling: Good · Fatigue or tiredness

Free text: Mild brain fog with speech disruption

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Dyspnoea — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: Brain fog, shortness of breath

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Survey response — day 7, dose 1
MedDRA: Brain fog, Dyspnoea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog, shortness of breath

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Survey response — day 14, dose 1
MedDRA: Uterine haemorrhage — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Additional uterine hemorrhage

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Survey response — day 21, dose 1
MedDRA: Cough, Dyspnoea, Eating disorder, Fatigue, Nausea, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, trouble breathing, sore throat, fever spikes, trouble eating, nausea, runny nose, post-nasal drip, exhaustion.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-09-13
Survey response — day 35, dose 1
MedDRA: Abortion missed — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Missed abortion of fetus.

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-11-07
Survey response — 3 months, dose 1
MedDRA: Balance disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Inability to balance while walking.

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Survey response — 6 months, dose 1
MedDRA: Abdominal pain, Rectal haemorrhage, Unevaluable event — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Abdominal pain and rectal bleeding · Healthcare visit (other): CAT scan & planned colonoscopy

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-10
Call successful
Completed over the phone
2022-08-10
Survey response — 12 months, dose 1
MedDRA: Menstruation irregular, Unevaluable event, Uterine haemorrhage — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hemorrhaging from uterus, uterine lining 22mm, menstrual irregularity since August of 2021

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-06	Successful 2022-02-10	Completed over the phone

Free text

Release 9 — day 0, dose 1

2021-08-08

Systemic reaction (other): Sore at injection site

Release 9 — days 1–6 daily, dose 1

2021-08-09

Systemic reaction (other): Sore muscle where I got injected

2021-08-10

Systemic reaction (other): Injection arm muscle is slightly sore

2021-08-11

Systemic reaction (other): Brain fog

2021-08-12

Systemic reaction (other): Neurological - speech affected and brain fog

2021-08-13

Systemic reaction (other): Mild brain fog with speech disruption

2021-08-14

Systemic reaction (other): Brain fog, shortness of breath

Release 9 — day 7, dose 1

2021-08-15

Systemic reaction (other): Brain fog, shortness of breath

Release 9 — day 14, dose 1

2021-08-22

Symptoms: Additional uterine hemorrhage

Release 9 — day 21, dose 1

2021-08-29

Symptoms: Cough, trouble breathing, sore throat, fever spikes, trouble eating, nausea, runny nose, post-nasal drip, exhaustion.

Release 9 — day 35, dose 1

2021-09-13

Symptoms: Missed abortion of fetus.

Release 10 — 3 months, dose 1

2021-11-07

Symptoms: Inability to balance while walking.

Release 11 — 6 months, dose 1

2022-02-06

Symptoms: Abdominal pain and rectal bleeding

Healthcare visit (other): CAT scan & planned colonoscopy

Release 12 — 12 months, dose 1

2022-08-10

Symptoms: Hemorrhaging from uterus, uterine lining 22mm, menstrual irregularity since August of 2021

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	Unevaluable event	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Abortion missed	·	·	✓
SD	Balance disorder	·	·	✓
SD	Cough	✓	·	✓
SD	Dyspnoea	✓	·	✓
SD	Eating disorder	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Menstruation irregular	·	·	✓
SD	Nausea	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	Rectal haemorrhage	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	Unevaluable event	·	·	✓
SD	Upper-airway cough syndrome	✓	·	✓
SD	Uterine haemorrhage	✓	·	✓
SRO	Brain fog	✓	·	✓
SRO	Dyspnoea	✓	·	✓
SRO	Injection site pain	✓	·	✓
SRO	Myalgia	✓	·	✓
SRO	Speech disorder	✓	·	✓

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