KHV-20635-64550

5 vaccinations 8 coded responses 55 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 941 / CA
Registered: 2021-04-16

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

Registered dependents

YYB-26571-98505 Child or adolescent in my care · Female · 2023-05-08

Timeline

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

2021-04-16
Registered in v-safe
2021-04-16
Dose 1 — Pfizer-BioNTech
2021-04-16
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-23
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Seeing Light spots the last couple of days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-09
Dose 2 — Pfizer-BioNTech
2021-05-09
Survey response — day 0, dose 2
MedDRA: Vision blurred — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Blurred vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Heavy menstrual bleeding, Hypoaesthesia, Injection site bruising — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Bruised area near injection site, Slight numbness in hand attached to the arm of the injection site, and HEAVY menstrual flow (heavier than normal menstrual flow)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion — Feeling: Good · Site: Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Bruised arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Good · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Numbness in hands.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Numbness in opposite hand from injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-11-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-10
Dose 3 — Pfizer-BioNTech
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — day 7, dose 3
Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-10
Survey response — 3 months, dose 3
MedDRA: Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: About to do a Frozen Embryo Transfer (FET) · Healthcare visit (other): Fertility Doctor visits

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-02-23
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-25
Dose 4 — Pfizer-BioNTech
2022-04-25
Survey response — day 0, dose 4
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Joint pains, Abdominal pain

Free text: Numbness/tingling in hand of arm vaccine was given

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-02
Health check-in — day 7, dose 4
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-16
Dose 5 — Pfizer-BioNTech
2022-09-16
Health check-in — day 0, dose 5
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-23
Health check-in — day 7, dose 5
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-30
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-17
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Pfizer-BioNTech
2	2021-05-09	Pfizer-BioNTech
3	2021-11-10	Pfizer-BioNTech	No
4	2022-04-25	Pfizer-BioNTech	No
5	2022-09-16	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-23

Systemic reaction (other): Seeing Light spots the last couple of days.

Release 8 — day 0, dose 2

2021-05-09

Systemic reaction (other): Blurred vision

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): Bruised area near injection site, Slight numbness in hand attached to the arm of the injection site, and HEAVY menstrual flow (heavier than normal menstrual flow)

2021-05-13

Systemic reaction (other): Bruised arm.

2021-05-15

Systemic reaction (other): Numbness in hands.

Release 8 — day 7, dose 2

2021-05-16

Systemic reaction (other): Numbness in opposite hand from injection site

Release 11 — 3 months, dose 3

2022-02-10

Symptoms: About to do a Frozen Embryo Transfer (FET)

Healthcare visit (other): Fertility Doctor visits

Release 11 — day 0, dose 4

2022-04-25

Systemic reaction (other): Numbness/tingling in hand of arm vaccine was given

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
HCVO	Office visit	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Paraesthesia	·	·	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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