VM4-10149-04014
3 vaccinations
6 coded responses
35 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 967 / HI
- Registered
- 2021-07-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-21
Dose 1 — Pfizer-BioNTech
-
2021-07-23
Registered in v-safe
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2021-07-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Joint painsAdult check-in
- 2021-07-24
- 2021-07-25
- 2021-07-26
-
2021-07-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
-
2021-07-28
Health check-in — day 7, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-08-04
-
2021-08-11
Dose 2 — Pfizer-BioNTech
- 2021-08-11
-
2021-08-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-08-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
-
2021-08-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-17
- 2021-08-18
- 2021-08-25
- 2021-09-03
- 2021-09-08
- 2021-09-15
- 2021-09-22
- 2021-11-10
-
2022-02-04
Dose 3 — Moderna
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2022-02-06
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-02-07
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-02-08
Survey response — days 1–6 daily, dose 3MedDRA: Menstruation irregular — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Menstruation unexpected at an inappropriate timingMedDRA releases: 2024-11 · check-in free text available
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2022-02-08
Report sent to call center — days 1–6 daily, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-02-09
Survey response — days 1–6 daily, dose 3MedDRA: Heavy menstrual bleeding, Loss of consciousness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Extremely heavy inappropriately timed menses causing blackoutsMedDRA releases: 2024-11 · check-in free text available
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2022-02-09
Report sent to call center — days 1–6 daily, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-02-10
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Heavy menstrual bleeding, Menstruation irregular — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Extremely heavy un scheduled menstruation that is causing dizziness .MedDRA releases: 2024-11 · check-in free text available
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2022-02-11
Survey response — day 7, dose 3MedDRA: Menometrorrhagia — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Heavy inappropriately timed mensesMedDRA releases: 2024-11 · check-in free text available
- 2022-02-11
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2022-02-11
Call successfulCompleted over the phone
- 2022-02-18
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2022-02-26
Survey response — day 21, dose 3MedDRA: Headache — Feeling: FairFree text: Headaches dailyMedDRA releases: 2024-11 · check-in free text available
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2022-03-06
Survey response — day 28, dose 3MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches almost constantlyMedDRA releases: 2024-11 · check-in free text available
- 2022-03-11
- 2022-03-18
- 2022-05-06
- 2022-08-05
- 2023-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-21 | Pfizer-BioNTech | No |
| 2 | 2021-08-11 | Pfizer-BioNTech | No |
| 3 | 2022-02-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-08 | Successful | Completed over the phone |
| 2022-02-09 | Successful 2022-02-11 |
Completed over the phone |
Free text
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Menstruation unexpected at an inappropriate timing
Systemic reaction (other): Extremely heavy inappropriately timed menses causing blackouts
Systemic reaction (other): Extremely heavy un scheduled menstruation that is causing dizziness .
Release 11 — day 7, dose 3
Systemic reaction (other): Heavy inappropriately timed menses
Release 11 — day 21, dose 3
Symptoms: Headaches daily
Release 11 — day 28, dose 3
Symptoms: Headaches almost constantly
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 | Headache | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Heavy menstrual bleeding | · | · | ✓ |
| SRO | Loss of consciousness | · | · | ✓ |
| SRO | Menometrorrhagia | · | · | ✓ |
| SRO | Menstruation irregular | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release