KHL-10490-10741

4 vaccinations 3 coded responses 39 check-ins 2 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 021 / MA
Registered: 2021-04-21

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

2021-04-21
Registered in v-safe
2021-04-21
Dose 1 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-12
Dose 2 — Pfizer-BioNTech
2021-05-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Survey response — 6 months, dose 2
MedDRA: Melanocytic naevus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Have a mole on my arm that the dermatologist wants to remove

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-10
Dose 3 — Moderna
2022-05-12
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous, Pregnancy — Feeling: Good

Free text: I had a miscarriage at 6-7 weeks pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Dose 4 — Moderna
Co-administered: Flu
2022-10-22
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-24
Survey response — 6 months, dose 4
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-24
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Pfizer-BioNTech
2	2021-05-12	Pfizer-BioNTech
3	2021-12-10	Moderna	No
4	2022-10-22	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-11-12	Successful 2021-11-15	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-04-24	Unsuccessful

Free text

Release 10 — 6 months, dose 2

2021-11-12

Symptoms: Have a mole on my arm that the dermatologist wants to remove

Release 11 — 12 months, dose 2

2022-05-12

Symptoms: I had a miscarriage at 6-7 weeks pregnant

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	Melanocytic naevus	·	·	✓
SD	Pregnancy	·	·	✓

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