JC2-24050-48206

3 vaccinations 8 coded responses 30 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 604 / IL
Registered: 2021-03-09

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

7VP-26169-25090 Child or adolescent in my care · Female · 2021-11-08

UKU-10538-02373 Child or adolescent in my care · Female · 2021-11-08

Timeline

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

2021-03-08
Dose 1 — Pfizer-BioNTech
2021-03-09
Registered in v-safe
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Diarrhea

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-22
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Strong headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-05
Dose 2 — Pfizer-BioNTech
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Inhalation therapy — Feeling: Good

Free text: Needing inhaler more for breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-05
Survey response — 3 months, dose 2
MedDRA: Menstrual disorder — Feeling: Good

Free text: Changes in menstrual cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Dose 3 — Pfizer-BioNTech
2021-10-14
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Pruritus — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: General itching, swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Survey response — days 1–6 daily, dose 3
MedDRA: Neck pain — Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Neck pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-25
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-01
Survey response — day 21, dose 3
MedDRA: Menstrual disorder — Feeling: Fair

Free text: Changes in menstrual cycle

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-24
Survey response — day 42, dose 3
MedDRA: Cough, Headache, Nausea, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school

Free text: Cough, congestion, headache, slight nausea

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Survey response — 6 months, dose 3
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
2022-04-13
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-21
Call 1 — Left Voicemail
2022-10-13
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Pfizer-BioNTech
2	2021-04-05	Pfizer-BioNTech
3	2021-10-11	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-13	Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-03-22

Symptoms: Strong headaches

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Needing inhaler more for breathing

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: Changes in menstrual cycle

Release 10 — days 1–6 daily, dose 3

2021-10-14

Systemic reaction (other): General itching, swollen lymph nodes

2021-10-16

Systemic reaction (other): Neck pain

Release 10 — day 21, dose 3

2021-11-01

Symptoms: Changes in menstrual cycle

Release 10 — day 42, dose 3

2021-11-24

Symptoms: Cough, congestion, headache, slight nausea

Release 11 — 6 months, dose 3

2022-04-13

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	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inhalation therapy	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Nausea	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pruritus	·	·	✓

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