MUA-16145-77413

4 vaccinations 8 coded responses 29 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 547 / WI
Registered: 2020-12-23

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-23
Survey response — day 0, dose 1
MedDRA: Pregnancy — Feeling: Good · Site: Pain · Nausea

Free text: Related to being in first trimester of pregnancy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pregnancy — Feeling: Fair · Nausea

Free text: Pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Pregnancy — Feeling: Fair · Nausea

Free text: Pregnant - 1st trimester

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — day 7, dose 1
MedDRA: Pregnancy — Feeling: Fair · Nausea

Free text: Pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-13
Dose 2 — Pfizer-BioNTech
2021-01-13
Survey response — day 0, dose 2
MedDRA: Chills, Fatigue, Nausea, Pregnancy — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea

Free text: Pregnant-1st trimester, chills and fatigue started 11 hours after injection, nausea is baseline, no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Nausea

Adult check-in
2021-01-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-06
Call 1 — Left Voicemail
2021-02-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Dose 3 — Pfizer-BioNTech
2022-01-13
Survey response — 12 months, dose 2
MedDRA: Cough, Influenza virus test negative, Nasal congestion, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — 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 · Outpatient clinic or urgent care clinic visit

Free text: Cough, nasal congestion, sore throat, low grade fever. Was tested for flu and Covid and both results were negative.

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — 12 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)
2022-01-14
Call 1 — Left Voicemail
2022-04-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-16
Dose 4 — Pfizer-BioNTech
2022-09-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-01
Health check-in — day 14, dose 4
Feeling: Good

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

Adult check-in
2022-12-18
Survey response — 3 months, dose 4
MedDRA: Upper respiratory tract infection — Feeling: Fair

Free text: URI

MedDRA releases: 2024-11 · check-in free text available
2023-03-17
Survey response — 6 months, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-13	Pfizer-BioNTech
3	2021-10-19	Pfizer-BioNTech	No
4	2022-09-16	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-23

Systemic reaction (other): Related to being in first trimester of pregnancy

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): Pregnant

2020-12-29

Systemic reaction (other): Pregnant - 1st trimester

Release 1 — day 7, dose 1

2020-12-30

Systemic reaction (other): Pregnant

Release 1 — day 0, dose 2

2021-01-13

Systemic reaction (other): Pregnant-1st trimester, chills and fatigue started 11 hours after injection, nausea is baseline, no fever

Release 10 — 12 months, dose 2

2022-01-13

Symptoms: Cough, nasal congestion, sore throat, low grade fever. Was tested for flu and Covid and both results were negative.

Release 12 — 3 months, dose 4

2022-12-18

Symptoms: URI

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Exposure during pregnancy	○	○	○
SRO	Fatigue	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pregnancy	✓	✓	✓

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