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P3B-14399-42210

3 vaccinations 7 coded responses 39 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
303 / GA
Registered
2021-03-31
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino
Registered dependents
Y6R-31961-80608 Child or adolescent in my care · Female · 2022-07-01

Timeline

  1. 2021-03-31
    Registered in v-safe
  2. 2021-03-31
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-31
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-21
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-21
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-02
    Dose 3 — Moderna
  29. 2021-12-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  30. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  31. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  32. 2021-12-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Amenorrhoea, Discharge, Lactation puerperal increased, Uterine spasm — Feeling: Fair · Site: Pain · Joint pains
    Free text: I have had uterine cramps and dramatically increased clear discharge since receiving the booster shot. I have been lactating and not menstruating for the last 9 months so initially thought it might be menstruation returning, but it is not.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Medical counselling, Uterine spasm — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Still experiencing substantial uterine cramps ever since receiving my booster shot, with no discernible cause. · Healthcare visit (other): Have consulted with my OBGYN regarding persistent uterine cramps
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-07
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  35. 2021-12-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Uterine spasm — Feeling: Good · Muscle or body aches
    Free text: Still experiencing uterine cramps without bleeding
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-08
  37. 2021-12-09
    Survey response — day 7, dose 3
    MedDRA: Uterine spasm — Feeling: Good · Muscle or body aches
    Free text: Uterine cramps
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-13
    Call successful
    Does not wish to fill out VAERS report
  39. 2021-12-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-23
    Survey response — day 21, dose 3
    MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, cough, sore throat
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-12-30
    Survey response — day 28, dose 3
    MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair
    Free text: Cough, runny nose, congestion, sore throat (entire family tested negative for COVID 19 via rapid antigen test)
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-01-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-03-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-06-02
    Survey response — 6 months, dose 3
    MedDRA: Dysmenorrhoea, Endometrial hyperplasia, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Endometrial hyperplasia and dysmenorrhea · Healthcare visit (other): Ultrasound and prescription treatment
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-06-02
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  47. 2022-06-03
  48. 2022-06-03
  49. 2022-12-02
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Pfizer-BioNTech
22021-04-21Pfizer-BioNTech
32021-12-02Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-12-07 Successful
2021-12-13
Does not wish to fill out VAERS report
2022-06-02 Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-06

Systemic reaction (other): I have had uterine cramps and dramatically increased clear discharge since receiving the booster shot. I have been lactating and not menstruating for the last 9 months so initially thought it might be menstruation returning, but it is not.

2021-12-07

Systemic reaction (other): Still experiencing substantial uterine cramps ever since receiving my booster shot, with no discernible cause.
Healthcare visit (other): Have consulted with my OBGYN regarding persistent uterine cramps

2021-12-08

Systemic reaction (other): Still experiencing uterine cramps without bleeding

Release 10 — day 7, dose 3

2021-12-09

Systemic reaction (other): Uterine cramps

Release 10 — day 21, dose 3

2021-12-23

Symptoms: Runny nose, cough, sore throat

Release 10 — day 28, dose 3

2021-12-30

Symptoms: Cough, runny nose, congestion, sore throat (entire family tested negative for COVID 19 via rapid antigen test)

Release 11 — 6 months, dose 3

2022-06-02

Symptoms: Endometrial hyperplasia and dysmenorrhea
Healthcare visit (other): Ultrasound and prescription treatment

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling · · ✓
HCVOUnevaluable event · · ✓
HCVOUterine spasm · · ✓
SDCough · · ✓
SDDysmenorrhoea · · ✓
SDEndometrial hyperplasia · · ✓
SDOropharyngeal pain · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SROAmenorrhoea · · ✓
SRODischarge · · ✓
SROLactation puerperal increased · · ✓
SROUterine spasm · · ✓

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