VC9-13559-22155

4 vaccinations 7 coded responses 46 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 532 / WI
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability, Poor feeding infant — Feeling: Good · Site: Pain

Free text: Cranky nursing toddler

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 1
MedDRA: Food poisoning — Feeling: Good · Be unable to do your normal daily activities

Free text: Food poisoning on 3/27

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-11
Dose 2 — Pfizer-BioNTech
2021-04-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Headache, Diarrhea

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 28, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Random heavy menstrual bleeding

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call 1 — Left Voicemail
2021-10-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Dose 3 — Pfizer-BioNTech
2021-12-01
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Vomiting, Diarrhea

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — day 28, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Congestion & sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Dose 4 — Moderna
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-06
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-20
Survey response — day 21, dose 4
MedDRA: Oropharyngeal pain, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever, sore throat, achy

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-31
Survey response — 3 months, dose 4
MedDRA: Hand-foot-and-mouth disease — Feeling: Fair

Free text: Hand foot mouth

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-11	Pfizer-BioNTech
3	2021-12-01	Pfizer-BioNTech	No
4	2022-09-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-17	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Cranky nursing toddler

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Food poisoning on 3/27

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Diarrhea

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Random heavy menstrual bleeding

Release 10 — day 28, dose 3

2021-12-29

Symptoms: Congestion & sore throat

Release 12 — day 21, dose 4

2022-10-20

Symptoms: Fever, sore throat, achy

Release 12 — 3 months, dose 4

2022-12-31

Symptoms: Hand foot mouth

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	Diarrhoea	✓	✓	✓
SD	Food poisoning	✓	✓	✓
SD	Hand-foot-and-mouth disease	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Irritability	✓	✓	✓
SRO	Poor feeding infant	✓	✓	✓

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