LUR-96705-22973

5 vaccinations 20 coded responses 46 check-ins 21 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 981 / WA
Registered: 2021-04-20

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

Registered dependents

GFL-25513-34627 Child or adolescent in my care · Male · 2022-06-26

Timeline

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

2021-04-20
Registered in v-safe
2021-04-20
Dose 1 — Pfizer-BioNTech
2021-04-20
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle tightness — Feeling: Good · Fatigue or tiredness

Free text: Muscle tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Light-headed but probably not related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-04-27
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-12
Dose 2 — Pfizer-BioNTech
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Fatigue or tiredness

Free text: Sweating at the beginning of the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-19
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-08-15
Survey response — 3 months, dose 2
MedDRA: Hypertonic bladder, Pelvic floor dysfunction, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I ran a fever once on 7/10/21 for several hours. I currently have overactive bladder/pelvic floor issues.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Call 2 — Left Voicemail
2021-11-15
Survey response — 6 months, dose 2
MedDRA: Pelvic organ injury — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pelvic floor issues from exercise-related trauma.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Dose 3 — Moderna
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling hot — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling warm

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-14
Survey response — day 35, dose 3
MedDRA: Epistaxis — Feeling: Good

Free text: Blood in right nostril

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Survey response — 6 months, dose 3
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose at times.

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Dose 4 — Moderna
2022-07-16
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2022-07-18
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Pharyngeal erythema, Throat irritation — Feeling: Fair · Site: Swelling · Fatigue or tiredness

Free text: Red, irritated throat but could be from exhaustion - parent to 3 year old

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Survey response — days 1–6 daily, dose 4
MedDRA: Breast pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My breast are sore and that doesn't line up with my cycle. Sore yesterday too.

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Survey response — days 1–6 daily, dose 4
MedDRA: Breast pain — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore breasts

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Survey response — days 1–6 daily, dose 4
MedDRA: Breast pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore breasts

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Survey response — day 7, dose 4
MedDRA: Breast pain — Feeling: Good · Fatigue or tiredness

Free text: Sore breasts

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-06
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-08-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-20
Survey response — day 35, dose 4
MedDRA: Abortion spontaneous, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Miscarriage · Healthcare visit (other): Specialty Clinic within hospital

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-22
Call 1 — Left Voicemail
2022-08-22
Call 1 — Left Voicemail
2022-08-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-21
Survey response — 3 months, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swollen cervical lymph node.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-24
Call 3 — Left Voicemail
2022-10-24
Call 2 — Left Voicemail
2022-10-24
Call 1 — Left Voicemail
2022-11-12
Dose 5 — Moderna
Co-administered: Flu
2022-11-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Nausea

Adult check-in
2022-11-15
Survey response — days 1–6 daily, dose 5
MedDRA: Poor quality sleep — Feeling: Fair · Fatigue or tiredness

Free text: I didn't sleep well last night but not because of vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Survey response — days 1–6 daily, dose 5
MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stayed up to watched Artemis launch and then my kiddo woke me up at 5 something. Luckily, my husband left me nap so I went from severe to mild.

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-26
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-12-04
Survey response — day 21, dose 5
MedDRA: Pregnancy test positive — Feeling: Good

Free text: Positive pregnancy test

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-25
Health check-in — day 42, dose 5
Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough and loss of voice/laryngitis

Adult check-in · check-in free text available
2023-05-15
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Pfizer-BioNTech
2	2021-05-12	Pfizer-BioNTech
3	2021-12-04	Moderna	No
4	2022-07-15	Moderna	No
5	2022-11-12	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-08-15	Unsuccessful
2022-08-20	Unsuccessful
2022-10-21	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-21

Systemic reaction (other): Muscle tightness

2021-04-23

Systemic reaction (other): Light-headed but probably not related to vaccine.

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Sweating at the beginning of the day

Release 8 — day 7, dose 2

2021-05-19

Systemic reaction (other): Sore throat

Release 9 — 3 months, dose 2

2021-08-15

Symptoms: I ran a fever once on 7/10/21 for several hours. I currently have overactive bladder/pelvic floor issues.

Release 10 — 6 months, dose 2

2021-11-15

Symptoms: Pelvic floor issues from exercise-related trauma.

Release 10 — days 1–6 daily, dose 3

2021-12-05

Systemic reaction (other): Feeling warm

2021-12-08

Systemic reaction (other): Dizziness

Release 10 — day 35, dose 3

2022-01-14

Symptoms: Blood in right nostril

Release 11 — 6 months, dose 3

2022-06-05

Symptoms: Runny nose at times.

Release 12 — days 1–6 daily, dose 4

2022-07-18

Systemic reaction (other): Red, irritated throat but could be from exhaustion - parent to 3 year old

2022-07-19

Systemic reaction (other): My breast are sore and that doesn't line up with my cycle. Sore yesterday too.

2022-07-20

Systemic reaction (other): Sore breasts

2022-07-21

Systemic reaction (other): Sore breasts

Release 12 — day 7, dose 4

2022-07-22

Systemic reaction (other): Sore breasts

Release 12 — day 35, dose 4

2022-08-20

Symptoms: Miscarriage

Healthcare visit (other): Specialty Clinic within hospital

Release 12 — 3 months, dose 4

2022-10-21

Symptoms: Swollen cervical lymph node.

Release 12 — days 1–6 daily, dose 5

2022-11-15

Systemic reaction (other): I didn't sleep well last night but not because of vaccine.

2022-11-16

Systemic reaction (other): Stayed up to watched Artemis launch and then my kiddo woke me up at 5 something. Luckily, my husband left me nap so I went from severe to mild.

Release 12 — day 21, dose 5

2022-12-04

Symptoms: Positive pregnancy test

Release 12 — day 42, dose 5

2022-12-25

Symptoms: Cough and loss of voice/laryngitis

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	Emergency care	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Epistaxis	·	·	✓
SD	Hypertonic bladder	✓	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pelvic floor dysfunction	✓	·	✓
SD	Pelvic organ injury	·	·	✓
SD	Pregnancy test positive	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Breast pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngeal erythema	·	·	✓
SRO	Poor quality sleep	·	·	✓
SRO	Throat irritation	·	·	✓

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