MVP-15490-66823

4 vaccinations 5 coded responses 33 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 142 / NY
Registered: 2021-03-30

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

Registered dependents

E2M-30639-22089 Child or adolescent in my care · Female · 2022-06-23

Timeline

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 35, dose 2
MedDRA: Flank pain, Vaginal haemorrhage — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vaginal bleeding flank pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Abdominal discomfort, Chills, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever chills upset stomach

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Dose 3 — Pfizer-BioNTech
2022-04-20
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-09-14
Dose 4 — Moderna
2022-09-22
Health check-in — day 7, dose 4
Feeling: Fair · Headache

Adult check-in
2022-09-28
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-05
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-12
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-19
Survey response — day 35, dose 4
MedDRA: Influenza like illness, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold/flu like symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Survey response — day 42, dose 4
MedDRA: Chills, Diarrhoea, Nausea, Pyrexia, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea vomiting chills fever diahreaa

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-15
Survey response — 6 months, dose 4
MedDRA: Autoimmune disorder, Neoplasm — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-15
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-16
Call 1 — Requested Callback
2023-03-16
Callback requested for
2023-03-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech
3	2021-11-26	Pfizer-BioNTech	No
4	2022-09-14	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — day 35, dose 2

2021-05-25

Symptoms: Vaginal bleeding flank pain

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Fever chills upset stomach

Release 12 — day 35, dose 4

2022-10-19

Symptoms: Cold/flu like symptoms

Release 12 — day 42, dose 4

2022-10-26

Symptoms: Nausea vomiting chills fever diahreaa

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	Abdominal discomfort	·	·	✓
SD	Autoimmune disorder	·	·	✓
SD	Chills	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Flank pain	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Neoplasm	·	·	✓
SD	Pyrexia	·	·	✓
SD	Vaginal haemorrhage	✓	✓	✓
SD	Vomiting	·	·	✓

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