RT9-12927-55057

3 vaccinations 7 coded responses 28 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 750 / TX
Registered: 2021-04-05

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

2021-04-05
Registered in v-safe
2021-04-05
Dose 1 — Pfizer-BioNTech
2021-04-05
Survey response — day 0, dose 1
MedDRA: Breast feeding — Feeling: Good · Site: Pain

Free text: Currently breastfeeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Tested positive for COVID

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: COVID-19 — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Positive for COVID

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 21, dose 1
MedDRA: Cough, Diarrhoea, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Diarreah, worsening cough, nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-05-17
Dose 2 — Pfizer-BioNTech
2021-05-17
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-07-05
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-06
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-23
Call 2 — Left Voicemail
2022-01-03
Dose 3 — Pfizer-BioNTech
2022-01-03
Survey response — day 0, dose 3
MedDRA: Pregnancy — Feeling: Good · Site: Pain

Free text: Pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-06
Survey response — 3 months, dose 3
MedDRA: Abortion spontaneous, Influenza — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Miscarriage at 22 weeks, flu · Healthcare visit (other): Induction to deliver miscarried baby

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-04-11
Call 2 — Left Voicemail
2022-07-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-03
Survey response — 12 months, dose 3
MedDRA: Cholelithiasis, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-01-03
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-01-04
Call 1 — Left Voicemail
2023-01-04
Call 1 — Left Voicemail
2023-01-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Pfizer-BioNTech
2	2021-05-17	Pfizer-BioNTech	No
3	2022-01-03	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-28	Unsuccessful
2022-04-06	Unsuccessful
2023-01-03	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-04-05

Systemic reaction (other): Currently breastfeeding

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Tested positive for COVID

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): Positive for COVID

Release 8 — day 21, dose 1

2021-04-28

Symptoms: Diarreah, worsening cough, nausea

Release 10 — day 0, dose 3

2022-01-03

Systemic reaction (other): Pregnant

Release 11 — 3 months, dose 3

2022-04-06

Symptoms: Miscarriage at 22 weeks, flu

Healthcare visit (other): Induction to deliver miscarried baby

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
HCVO	Abortion spontaneous	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Cholelithiasis	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Influenza	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pregnancy	·	·	✓
SRO	Breast feeding	✓	✓	✓
SRO	COVID-19	✓	✓	✓
SRO	Pregnancy	·	·	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓

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