JS9-93483-82510

4 vaccinations 6 coded responses 50 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 532 / WI
Registered: 2021-04-07

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

E24-10372-32056 Child or adolescent in my care · Female · 2022-06-23

Timeline

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

2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-07
Registered in v-safe
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: I am about 3 weeks postpartum so hard to say if fatigue is vaccine related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Postpartum state — Feeling: Good · Fatigue or tiredness

Free text: Im 3 weeks postpartum

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 7, dose 1
MedDRA: Perinatal depression, Postpartum state — Feeling: Good · Fatigue or tiredness

Free text: Im 3 weeks postpartum

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-25
Dose 2 — Pfizer-BioNTech
2021-04-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Dose 3 — Pfizer-BioNTech
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Swelling of eyelid — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Eyelid swelling

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Swelling of eyelid — Feeling: Good

Free text: Swelling eyelid- much improved

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Call 1 — Left Voicemail
2021-12-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-27
Dose 4 — Moderna
2022-09-27
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-04
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-11
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-27
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-04-25	Pfizer-BioNTech
3	2021-11-23	Pfizer-BioNTech	No
4	2022-09-27	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): I am about 3 weeks postpartum so hard to say if fatigue is vaccine related

2021-04-09

Systemic reaction (other): Im 3 weeks postpartum

Release 7 — day 7, dose 1

2021-04-10

Systemic reaction (other): Im 3 weeks postpartum

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Loss of appetite

Release 10 — days 1–6 daily, dose 3

2021-11-27

Systemic reaction (other): Eyelid swelling

2021-11-28

Systemic reaction (other): Swelling eyelid- much improved

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
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Perinatal depression	○	✓	○
SRO	Postpartum state	✓	✓	✓
SRO	Swelling of eyelid	·	·	✓

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