LW2-18074-25659

4 vaccinations 9 coded responses 49 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 482 / MI
Registered: 2021-03-23

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

Registered dependents

TVW-28914-69373 Child or adolescent in my care · Female · 2022-09-15

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
Health check-in — day 0, dose 1
Feeling: Fair · Diarrhea, Abdominal pain

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-25
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea, Abdominal pain

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-03-29
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 42, dose 2
MedDRA: Clostridium difficile infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Ive had a C. difficile infection since January, went off antibiotics for second time 2 weeks ago, and the infection is back now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Vertigo — Feeling: Good · 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: Vertigo from Jul 3-present

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Call 1 — Left Voicemail
2021-07-21
Call 1 — Left Voicemail
2021-07-21
Call 1 — Left Voicemail
2021-07-21
Call 1 — Left Voicemail
2021-11-18
Dose 3 — Moderna
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-30
Survey response — day 42, dose 3
MedDRA: Cough, Dry throat, Rhinorrhoea — Feeling: Fair

Free text: Dry throat, a little coughing, slightly runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-16
Dose 4 — Pfizer-BioNTech
2022-09-18
Survey response — days 1–6 daily, dose 4
MedDRA: Pregnancy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Vomiting

Free text: 18 wks pregnant, that's why I vomited

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · None

Adult check-in
2022-09-20
Survey response — days 1–6 daily, dose 4
MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-07
Survey response — day 21, dose 4
MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Good

Free text: A new cold - sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-28
Survey response — day 42, dose 4
MedDRA: Colitis ulcerative, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Ulcerative colitis flare

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-31
Call 2 — Left Voicemail
2022-10-31
Call 2 — Left Voicemail
2022-10-31
Call 2 — Left Voicemail
2022-10-31
Call 2 — Left Voicemail
2022-10-31
Call 1 — Left Voicemail
2022-12-16
Survey response — 3 months, dose 4
MedDRA: Influenza virus test negative, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have a cold. Sore throat, congestion. Negative for flu and covid.

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
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)
2022-12-20
Call successful
Not applicable - Accidental Reporting
2022-12-20
Call successful
Not applicable - Accidental Reporting
2022-12-20
Call successful
Not applicable - Accidental Reporting
2022-12-20
Call successful
Not applicable - Accidental Reporting
2022-12-20
Call successful
Does not wish to fill out VAERS report
2022-12-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-17
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2021-11-18	Moderna	No
4	2022-09-16	Pfizer-BioNTech	No

Call center

6 call center cases

6 successful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Ive had a C. difficile infection since January, went off antibiotics for second time 2 weeks ago, and the infection is back now

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Vertigo from Jul 3-present

Release 10 — day 7, dose 3

2021-11-25

Systemic reaction (other): Sore throat

Release 10 — day 42, dose 3

2021-12-30

Symptoms: Dry throat, a little coughing, slightly runny nose

Release 12 — days 1–6 daily, dose 4

2022-09-18

Systemic reaction (other): 18 wks pregnant, that's why I vomited

2022-09-20

Systemic reaction (other): Pregnant

Release 12 — day 21, dose 4

2022-10-07

Symptoms: A new cold - sore throat

Release 12 — day 42, dose 4

2022-10-28

Symptoms: Ulcerative colitis flare

Release 12 — 3 months, dose 4

2022-12-16

Symptoms: I have a cold. Sore throat, congestion. Negative for flu and covid.

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	Clostridium difficile infection	✓	✓	✓
SD	Colitis ulcerative	·	·	✓
SD	Cough	·	·	✓
SD	Dry throat	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pregnancy	·	·	✓

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