LDP-16143-24581

4 vaccinations 10 coded responses 45 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 537 / WI
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Pfizer-BioNTech
2021-04-08
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Abortion spontaneous — Feeling: Good

Free text: I am currently experiencing a miscarriage at 11 weeks pregnant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Abortion spontaneous — Feeling: Fair · Fever · Headache, Abdominal pain

Free text: Had a miscarriage at 11 weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Survey response — day 35, dose 2
MedDRA: Dizziness, Headache — Feeling: Fair

Free text: Headache, dizziness, lightheaded.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Dizziness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizziness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-11
Call 2 — Left Voicemail
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-04
Dose 3 — Pfizer-BioNTech
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Good · Site: Pain

Free text: Currently 18 weeks pregnant

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-12-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-01
Survey response — day 28, dose 3
MedDRA: Pregnancy, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Tested positive for COVID · Healthcare visit (other): I am also 21 weeks pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Report sent to call center — day 28, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-01-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-04
Survey response — 6 months, dose 3
MedDRA: Cholestasis, Delivery, Polyhydramnios, Pre-eclampsia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Gave birth to a baby on (b)(6)/2022 at 37 weeks. Developed preeclampsia, cholestasis and polyhydramnios during third trimester. Had a booster shot and Covid in December/January 2022 while pregnant.

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
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)
2022-06-06
Call 1 — Left Voicemail
2022-06-06
Call 2 — Left Voicemail
2022-06-06
Call 1 — Left Voicemail
2022-11-17
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-17
Survey response — day 0, dose 4
MedDRA: Breast feeding — Feeling: Good · Site: Pain

Free text: Currently breastfeeding

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-21
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-11-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-12-01
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-12-08
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-12-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-16
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-05-18
Survey response — 6 months, dose 4
MedDRA: Illness, Impaired work ability, Malaise, Office visit — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Pfizer-BioNTech
2	2021-04-29	Pfizer-BioNTech
3	2021-12-04	Pfizer-BioNTech	No
4	2022-11-17	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-07-29	Unsuccessful
2022-01-01	Unsuccessful
2022-06-04	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): I am currently experiencing a miscarriage at 11 weeks pregnant.

2021-04-11

Systemic reaction (other): Had a miscarriage at 11 weeks

Release 8 — day 35, dose 2

2021-06-03

Symptoms: Headache, dizziness, lightheaded.

Release 9 — day 42, dose 2

2021-06-10

Symptoms: Headache

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: Dizziness

Release 10 — days 1–6 daily, dose 3

2021-12-05

Systemic reaction (other): Currently 18 weeks pregnant

Release 10 — day 28, dose 3

2022-01-01

Symptoms: Tested positive for COVID

Healthcare visit (other): I am also 21 weeks pregnant

Release 11 — 6 months, dose 3

2022-06-04

Symptoms: Gave birth to a baby on (b)(6)/2022 at 37 weeks. Developed preeclampsia, cholestasis and polyhydramnios during third trimester. Had a booster shot and Covid in December/January 2022 while pregnant.

redacted (b)(6)

Release 12 — day 0, dose 4

2022-11-17

Systemic reaction (other): Currently breastfeeding

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	Pregnancy	·	·	✓
SD	Cholestasis	·	·	✓
SD	Delivery	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Illness	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Malaise	·	·	✓
SD	Office visit	·	·	✓
SD	Polyhydramnios	·	·	✓
SD	Pre-eclampsia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Abortion spontaneous	✓	✓	✓
SRO	Breast feeding	·	·	✓
SRO	Pregnancy	·	·	✓

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