UWG-15830-46278

5 vaccinations 11 coded responses 49 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 020 / MA
Registered: 2021-04-12

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Registered dependents

ZGK-83923-20607 Child or adolescent in my care · Male · 2022-06-25

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
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Cold-stimulus headache, Feeling abnormal, Malaise — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Brain fog, malaise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Menstruation irregular — Feeling: Good · Site: Pain · Joint pains

Free text: Began menstruating a full five days early

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 · Joint pains

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-19
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-28
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, Swelling · None

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

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
2021-06-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 35, dose 2
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder — Feeling: Good

Free text: Extremely heavy period with cramping, neither of which are normal for me.

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
2021-11-05
Dose 3 — Pfizer-BioNTech
2021-11-05
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Headache

Free text: Brain Fog

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness · Joint pains

Free text: Swollen lymph nodes.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Free text: Moderately swollen, painful lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-11-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Survey response — day 21, dose 3
MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Early miscarriage.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-29
Call 1 — Left Voicemail
2021-12-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-03
Survey response — day 28, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Common cold.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Survey response — day 42, dose 3
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-08
Dose 4 — Pfizer-BioNTech
2022-10-07
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-14
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-21
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-30
Survey response — day 21, dose 5
MedDRA: Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: RSV

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 42, dose 5
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Sjorgren's flare

MedDRA releases: 2024-11 · check-in free text available
2023-01-06
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Pfizer-BioNTech
2	2021-05-03	Pfizer-BioNTech
3	2021-11-05	Pfizer-BioNTech	No
4	2022-05-08	Pfizer-BioNTech	No
5	2022-10-07	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-11-26	Successful 2021-12-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): Brain fog, malaise.

2021-04-16

Systemic reaction (other): Began menstruating a full five days early

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Extremely heavy period with cramping, neither of which are normal for me.

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Brain Fog

2021-11-08

Systemic reaction (other): Swollen lymph nodes.

2021-11-09

Systemic reaction (other): Moderately swollen, painful lymph nodes

Release 10 — day 21, dose 3

2021-11-26

Symptoms: Early miscarriage.

Release 10 — day 28, dose 3

2021-12-03

Symptoms: Common cold.

Release 10 — day 42, dose 3

2021-12-17

Symptoms: Joint pain

Release 12 — day 21, dose 5

2022-10-30

Symptoms: RSV

Release 12 — day 42, dose 5

2022-11-18

Symptoms: Sjorgren's flare

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	Arthralgia	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SRO	Brain fog	✓	·	✓
SRO	Cold-stimulus headache	○	✓	○
SRO	Feeling abnormal	○	✓	○
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Malaise	✓	·	✓
SRO	Menstruation irregular	✓	✓	✓

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