LJW-14240-90809

3 vaccinations 9 coded responses 21 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 630 / MO
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Pfizer-BioNTech
2021-03-23
Survey response — day 0, dose 1
MedDRA: Immediate post-injection reaction, Injection site paraesthesia, Injection site warmth — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea, Abdominal pain

Free text: Hot tingling sensation at injection site during obs. Period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-06-22
Survey response — 3 months, dose 1
MedDRA: Menstruation delayed — Feeling: Good

Free text: Ovulation was delayed by several days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I conceived on my second cycle after my second dose (within 60 days of my 2nd dose) and had a missed miscarriage at 8.5 weeks. Healthy heartbeat was detected prior at 6 weeks 6 days, and pathology revealed no chromosomal or cervical abnormalities. · Healthcare visit (other): Outpatient surgery

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-29
Call 1 — Left Voicemail
2021-11-23
Dose 3 — Pfizer-BioNTech
2021-11-23
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Possible pelvic cramps?

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Abdominal pain

Adult check-in
2021-11-26
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair · Joint pains, Fatigue or tiredness, Abdominal pain

Free text: Sore/itchy throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Sore throat/ Mild chest cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Throat irritation — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Itchy Throat and Chest Cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Headache

Free text: Sore throat and chest cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 7, dose 3
MedDRA: Back pain, Blood luteinising hormone increased, Chest pain, Cough — Feeling: Fair · Muscle or body aches, Abdominal pain

Free text: Chest cough, chest and back pain, also experiencing an earlier LH spike than usual (CD 11 vs 13/14)

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Call 2 — Left Voicemail
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
2022-02-24
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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech	No
3	2021-11-23	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-12	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-23

Systemic reaction (other): Hot tingling sensation at injection site during obs. Period

Release 9 — 3 months, dose 1

2021-06-22

Symptoms: Ovulation was delayed by several days

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: I conceived on my second cycle after my second dose (within 60 days of my 2nd dose) and had a missed miscarriage at 8.5 weeks. Healthy heartbeat was detected prior at 6 weeks 6 days, and pathology revealed no chromosomal or cervical abnormalities.

Healthcare visit (other): Outpatient surgery

Release 10 — days 1–6 daily, dose 3

2021-11-24

Systemic reaction (other): Possible pelvic cramps?

2021-11-26

Systemic reaction (other): Sore/itchy throat

2021-11-27

Systemic reaction (other): Sore throat/ Mild chest cough

2021-11-28

Systemic reaction (other): Itchy Throat and Chest Cough

2021-11-29

Systemic reaction (other): Sore throat and chest cough

Release 10 — day 7, dose 3

2021-11-30

Systemic reaction (other): Chest cough, chest and back pain, also experiencing an earlier LH spike than usual (CD 11 vs 13/14)

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	Surgery	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Menstruation delayed	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Blood luteinising hormone increased	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Cough	·	·	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site paraesthesia	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Throat irritation	·	·	✓
SRO	Unevaluable event	·	·	✓

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