GM5-10673-87230
3 vaccinations
3 coded responses
38 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 100 / NY
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Pfizer-BioNTech
-
2021-04-06
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-20
Survey response — day 14, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Aching joints near injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Dose 2 — Pfizer-BioNTech
-
2021-04-27
Survey response — day 0, dose 2MedDRA: Menstruation irregular — Feeling: Good · Site: PainFree text: The day before receiving my second dose (nearly three weeks after my first dose) I experienced a menstrual irregularity. My period came early (25 days after my last menstrual period). My period normally comes between 28-35 days after my last menstrual period. Occasionally there is a longer time between periods, but in the past 13 years there had never been a single instance of fewer than 28 days between my periodsthis is the only instance.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-27
- 2021-10-26
-
2021-12-03
Dose 3 — Pfizer-BioNTech
-
2021-12-03
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-04
- 2021-12-05
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
-
2022-01-07
Survey response — day 35, dose 3MedDRA: Abortion spontaneous — Feeling: Good · 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 visitFree text: Miscarriage at 10 weeks. No reason to believe related to vaccination at all.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-07
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-14
- 2022-03-04
- 2022-06-03
- 2022-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech | |
| 2 | 2021-04-27 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-07 | Successful 2022-01-10 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 7 — day 14, dose 1
Symptoms: Aching joints near injection site
Release 8 — day 0, dose 2
Systemic reaction (other): The day before receiving my second dose (nearly three weeks after my first dose) I experienced a menstrual irregularity. My period came early (25 days after my last menstrual period). My period normally comes between 28-35 days after my last menstrual period. Occasionally there is a longer time between periods, but in the past 13 years there had never been a single instance of fewer than 28 days between my periodsthis is the only instance.
Release 10 — day 35, dose 3
Symptoms: Miscarriage at 10 weeks. No reason to believe related to vaccination at all.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release