T4X-30916-77336

3 vaccinations 11 coded responses 25 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 951 / CA
Registered: 2021-04-12

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

2021-04-12
Registered in v-safe
2021-04-12
Dose 1 — Pfizer-BioNTech
2021-04-12
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Sneezing — Feeling: Fair · Site: Pain

Free text: Sore throat, sneezy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-19
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-03
Dose 2 — Pfizer-BioNTech
2021-05-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Numbness

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

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 35, dose 2
MedDRA: Hypoaesthesia — Feeling: Good

Free text: Numbness in fingers/ hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-14
Dose 3 — Pfizer-BioNTech
2022-06-14
Survey response — 6 months, dose 3
MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Miscarriage

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-15
Call 1 — Left Voicemail
2022-12-14
Survey response — 12 months, dose 3
MedDRA: Palpitations, Pregnancy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Difficult pregnancy- regular heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-15
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	2021-04-12	Pfizer-BioNTech
2	2021-05-03	Pfizer-BioNTech
3	2021-12-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-06-14	Successful 2022-12-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-14	Successful 2022-12-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — day 0, dose 1

2021-04-12

Systemic reaction (other): Dizziness

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): Sore throat, sneezy

2021-04-16

Systemic reaction (other): Dizziness

Release 7 — day 7, dose 1

2021-04-19

Systemic reaction (other): Dizziness

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Insomnia

2021-05-05

Systemic reaction (other): Insomnia

2021-05-08

Systemic reaction (other): Numbness

2021-05-09

Systemic reaction (other): Insomnia

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Numbness in fingers/ hands

Release 12 — 6 months, dose 3

2022-06-14

Symptoms: Miscarriage

Release 12 — 12 months, dose 3

2022-12-14

Symptoms: Difficult pregnancy- regular heart palpitations

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	Abortion spontaneous	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pregnancy	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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