VKB-20900-72444

4 vaccinations 10 coded responses 18 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 921 / CA
Registered: 2021-03-22

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

2021-02-28
Dose 1 — Pfizer-BioNTech
2021-03-21
Dose 2 — Pfizer-BioNTech
2021-03-22
Registered in v-safe
2021-03-22
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, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 2
MedDRA: Inflammation, Rash — Feeling: Fair

Free text: Rashes, local inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-03-21
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Was pregnant since 11/13/2021 then miscarried (b)(6).

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-23
Call 1 — Left Voicemail
2022-04-16
Dose 4 — Moderna
2022-04-20
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Vertigo — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness/vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Vertigo — Feeling: Fair · Nausea · 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: Dizziness/vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — days 1–6 daily, dose 4
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)
2022-04-23
Survey response — day 7, dose 4
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-04-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-07
Survey response — day 21, dose 4
MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Survey response — day 28, dose 4
MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Miscarriage complicationspersistent/worsening bleeding.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-28
Survey response — day 42, dose 4
MedDRA: Abortion spontaneous, Hysteroscopy abnormal, Retained products of conception, Surgery — Feeling: Fair · Be unable to do your normal daily activities

Free text: RPOC following miscarriage (not related to vaccinations). Had hysteroscopy surgery this week to remove RPOC.

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — 6 months, dose 4
MedDRA: Biochemical 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, Outpatient clinic or urgent care clinic visit

Free text: Chemical pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-17
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Pfizer-BioNTech
2	2021-03-21	Pfizer-BioNTech
3	2021-10-15	Pfizer-BioNTech	Flu
4	2022-04-16	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-21	Successful	Not applicable - Accidental Reporting
2022-04-22	Successful 2022-04-26	Reported to VAERS voluntarily prior to GDIT contact
2022-05-14	Successful 2022-05-16	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-15	Successful 2022-10-17	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 6 — day 14, dose 2

2021-04-05

Symptoms: Rashes, local inflammation

Release 11 — 12 months, dose 2

2022-03-21

Symptoms: Was pregnant since 11/13/2021 then miscarried (b)(6).

redacted (b)(6)

Release 11 — days 1–6 daily, dose 4

2022-04-20

Systemic reaction (other): Dizziness

2022-04-21

Systemic reaction (other): Dizziness/vertigo

2022-04-22

Systemic reaction (other): Dizziness/vertigo

Release 11 — day 7, dose 4

2022-04-23

Systemic reaction (other): Dizziness

Release 11 — day 21, dose 4

2022-05-07

Symptoms: Vertigo

Release 11 — day 28, dose 4

2022-05-14

Symptoms: Miscarriage complicationspersistent/worsening bleeding.

Release 11 — day 42, dose 4

2022-05-28

Symptoms: RPOC following miscarriage (not related to vaccinations). Had hysteroscopy surgery this week to remove RPOC.

Release 12 — 6 months, dose 4

2022-10-15

Symptoms: Chemical pregnancy

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	Biochemical pregnancy	·	·	✓
SD	Hysteroscopy abnormal	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Retained products of conception	·	·	✓
SD	Surgery	·	·	✓
SD	Vertigo	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Vertigo	·	·	✓

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