GK6-36705-46609

4 vaccinations 7 coded responses 43 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 551 / MN
Registered: 2020-12-27

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

2020-12-27
Registered in v-safe
2020-12-27
Dose 1 — Pfizer-BioNTech
2020-12-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Expected soreness at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Dose 2 — Pfizer-BioNTech
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Lymph swelling under injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Lymph swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Underarm lymph swelling

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymph swelling

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-23
Dose 4 — Moderna
2022-10-01
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-01
Survey response — day 7, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph on injection side

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-28
Survey response — day 35, dose 4
MedDRA: Abortion spontaneous — Feeling: Good · 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
2022-10-28
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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
2023-03-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-27	Pfizer-BioNTech
2	2021-01-15	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-09-23	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2022-10-28	Successful 2022-10-31	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): Expected soreness at injection site

Release 2 — days 1–6 daily, dose 2

2021-01-18

Systemic reaction (other): Lymph swelling under injection arm

2021-01-19

Systemic reaction (other): Lymph swelling

Release 9 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Underarm lymph swelling

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Lymph swelling

Release 12 — day 7, dose 4

2022-10-01

Systemic reaction (other): Swollen lymph on injection side

Release 12 — day 35, dose 4

2022-10-28

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	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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