M5B-30802-72330

3 vaccinations 14 coded responses 37 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 480 / MI
Registered: 2021-04-10

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

2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-10
Registered in v-safe
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good · Site: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Menstrual disorder, Oropharyngeal pain — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-04-30
Health check-in — 0 day, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — 7 day, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-22
Health check-in — 21 day, dose 2
Feeling: Good

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

Adult check-in
2021-06-04
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — 3 month, dose 2
MedDRA: Allergic respiratory symptom — Feeling: Good

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-10-29
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2022-02-04
Dose 3 — Pfizer-BioNTech
2022-02-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-07
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Muscle tightness — Feeling: Fair · Site: Pain

MedDRA releases: 2024-11 · check-in answers available
2022-02-08
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Limb discomfort — Feeling: Good · Muscle or body aches

MedDRA releases: 2024-11 · check-in answers available
2022-02-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-10
Survey response — days 1–6 daily, dose 3
MedDRA: Limb discomfort, Muscle spasms — Feeling: Good · Abdominal pain

MedDRA releases: 2024-11 · check-in answers available
2022-02-11
Survey response — 7 day, dose 3
MedDRA: Pain, Pain in extremity — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-02-18
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2022-02-25
Survey response — 21 day, dose 3
MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-03-04
Survey response — 28 day, dose 3
MedDRA: Menstruation delayed, Reaction to previous exposure to any vaccine — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-03-11
Survey response — 35 day, dose 3
MedDRA: Heavy menstrual bleeding, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11 · check-in answers available
2022-03-11
Report sent to call center — 35 day, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-14
Call 1 — Left Voicemail
2022-03-18
Survey response — 42 day, dose 3
MedDRA: Heavy menstrual bleeding, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11 · check-in answers available
2022-03-18
Report sent to call center — 42 day, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-18
Call successful
Participant prefers to complete VAERS report online
2022-05-06
Survey response — 3 month, dose 3
MedDRA: Endometrial thickening, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11 · check-in answers available
2022-05-06
Report sent to call center — 3 month, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-09
Call 2 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2023-02-06
Health check-in — 12 month, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2022-02-04	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-11	Successful 2022-03-18	Participant prefers to complete VAERS report online
2022-03-18	Successful	Participant prefers to complete VAERS report online
2022-05-06	Unsuccessful

Free text

Release 7

Systemic reaction (other): Slightly blurry vision

Systemic reaction (other): Last night I had a sore throat. Also, today I started a period but havent had one in 5 months. May be irrelevant but thought I would share.

Release 8

Systemic reaction (other): Pain in left armpit. May be lymph nodes. Sure hope it goes away. Started last night.

Systemic reaction (other): Pain under left armpit. Starting to feel better than previously.

Release 9

Symptoms: Allergy symptoms

Release 11

Systemic reaction (other): Pain under left armpit and weird tightness in my calf

Systemic reaction (other): Pain under left armpit and discomfort in leg

Systemic reaction (other): Cramps, pressure/discomfort in leg

Systemic reaction (other): Shooting pain in leg

Symptoms: My arms get pains and feel slightly numb. My leg still gets a pain. Hoping it's not clot related.

Symptoms: After 8 months without a period, I now have one. But it's odd and not heavy. May be blood in urine. I did get period after first vaccine last time after 5 months without. Not wanting vaccine anymore if I keep getting my period back!

Symptoms: My period is heavier than ever and over 10 days now. B

Healthcare visit (other): Appointment scheduled for Monday

Symptoms: Heavier menstrual bleeding

Healthcare visit (other): Well visit - got prescription of estrogen

Symptoms: I am now scheduled for a D&C due to thickening of uterine lining

Healthcare visit (other): Dr visit / ultrasound

Free-text releases are not linked to a specific 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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Allergic respiratory symptom	✓	·	✓
SD	Endometrial thickening	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Menstruation delayed	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Limb discomfort	·	·	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Muscle spasms	·	·	✓
SRO	Muscle tightness	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Vision blurred	✓	✓	✓

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