U8H-24048-21178

4 vaccinations 3 coded responses 43 check-ins 3 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 024 / MA
Registered: 2021-01-21

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

Timeline

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — 14 day, dose 1
MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-04
Report sent to call center — 14 day, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Dose 2 — Pfizer-BioNTech
2021-02-11
Health check-in — 0 day, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — 28 day, dose 2
MedDRA: Unevaluable event — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-11
Report sent to call center — 28 day, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-06-30
Call 1 — Left Voicemail
2021-07-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-12
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — 0 day, dose 3
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — 7 day, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 21 day, dose 3
Feeling: Poor

Adult check-in
2021-10-29
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-04-01
Health check-in — 6 month, dose 3
Feeling: Good

Adult check-in
2022-09-09
Dose 4 — Moderna
Co-administered: Flu
2022-10-01
Health check-in — 12 month, dose 3
Feeling: Good

Adult check-in
2022-10-06
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — 3 month, dose 4
Feeling: Good

Adult check-in
2023-03-10
Health check-in — 6 month, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-11	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-09-09	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-02-04	Successful
2021-03-11	Successful 2021-07-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 3

Symptoms: 9.5 weeks missed miscarriage.

Release 4

Systemic reaction (other): Axillary lymph node swelling and pain

Release 5

Symptoms: Retained products of conception after a missed miscarriage - miscarriage occurred before I was vaccinated with my first dose.

Free-text releases are not linked to a specific 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	Unevaluable event	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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