T7Z-18517-12759

3 vaccinations 4 coded responses 32 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 481 / MI
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Pfizer-BioNTech
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Pfizer-BioNTech
2021-01-29
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Nausea

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — day 14, dose 2
MedDRA: Arthralgia, Chills, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body aches, chills, joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — 6 months, dose 2
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: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Call 1 — Left Voicemail
2021-10-06
Dose 3 — Pfizer-BioNTech
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-09
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Coughing and congestion · Healthcare visit (other): Covid testing

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-13
Call 1 — Left Voicemail
2021-10-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Survey response — 6 months, dose 3
MedDRA: Abortion spontaneous, Uterine dilation and curettage — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Missed miscarriage 3/2/2022 · Healthcare visit (other): D&C

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Pfizer-BioNTech
2	2021-01-29	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-08	priority 2/3
2021-07-30	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-09	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-08	Successful 2022-04-12	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — day 14, dose 2

2021-02-12

Symptoms: Body aches, chills, joint pain.

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Miscarriage

Release 10 — days 1–6 daily, dose 3

2021-10-09

Systemic reaction (other): Coughing and congestion

Healthcare visit (other): Covid testing

Release 11 — 6 months, dose 3

2022-04-08

Symptoms: Missed miscarriage 3/2/2022

Healthcare visit (other): D&C

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	SARS-CoV-2 test	·	·	✓
HCVO	Uterine dilation and curettage	·	·	✓
SD	Abortion spontaneous	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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