VMG-30006-44833

3 vaccinations 8 coded responses 34 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 322 / FL
Registered: 2021-05-03

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

QN8-24473-74517 Child or adolescent in my care · Female · 2021-11-25

56D-85150-34529 Child or adolescent in my care · Male · 2022-09-29

Timeline

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

2021-05-03
Registered in v-safe
2021-05-03
Dose 1 — Pfizer-BioNTech
2021-05-03
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-25
Dose 2 — Pfizer-BioNTech
2021-05-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-01
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-06-08
Survey response — day 14, dose 2
MedDRA: Headache, Menstruation delayed, Oligomenorrhoea — Feeling: Fair

Free text: Moderate headache. Period started today. Longer menstraul cycle noticed. My period was delayed 8-9 days this cycle. It is normally 25-26 days, this one was 34 days. Dose 1 was 2 days before the cycle started. Dose 2 was on day 21 of my cycle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — day 35, dose 2
MedDRA: Back pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — day 35, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Survey response — day 42, dose 2
MedDRA: Headache, Menstrual disorder — 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: Headache for about 5 days. Lighter period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Call 1 — Left Voicemail
2021-08-27
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-25
Survey response — 6 months, dose 2
MedDRA: Adenomyosis, Ovarian cyst — Feeling: Good · 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: Adenomyosis and ovarian cyst

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Report sent to call center — 6 months, dose 2
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)
2021-12-12
Dose 3 — Pfizer-BioNTech
2021-12-12
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-12-26
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-13
Call 1 — Left Voicemail
2022-01-18
Survey response — day 35, dose 3
MedDRA: Chest discomfort, Chest pain, Cough — Feeling: Good

Free text: Slight burning or irritation in chest on two days with infrequent cough over four

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-14
Survey response — 3 months, dose 3
MedDRA: Abortion spontaneous, Pregnancy — Feeling: Good · Be unable to work or attend school, 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: Pregnancy and miscarriage

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-12
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease — Feeling: Good

Free text: Allergies/Hay fever

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Survey response — 12 months, dose 3
MedDRA: Bacterial infection, COVID-19, Cough, Diarrhoea, Infection, Pain, Respiratory tract congestion, Sneezing — Feeling: Fair · Be unable to work or attend school, 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: COVID-19 Cough Congestion Sneezing Diarrhea Body aches Headache Secondary bacterial infection

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-03	Pfizer-BioNTech
2	2021-05-25	Pfizer-BioNTech
3	2021-12-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-02	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-06	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-25	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-14	Successful 2022-03-16	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-12-14	Unsuccessful

Free text

Release 8 — day 14, dose 2

2021-06-08

Symptoms: Moderate headache. Period started today. Longer menstraul cycle noticed. My period was delayed 8-9 days this cycle. It is normally 25-26 days, this one was 34 days. Dose 1 was 2 days before the cycle started. Dose 2 was on day 21 of my cycle.

Release 9 — day 35, dose 2

2021-07-02

Symptoms: Back pain

Release 9 — day 42, dose 2

2021-07-06

Symptoms: Headache for about 5 days. Lighter period

Release 10 — 6 months, dose 2

2021-11-25

Symptoms: Adenomyosis and ovarian cyst

Release 10 — day 35, dose 3

2022-01-18

Symptoms: Slight burning or irritation in chest on two days with infrequent cough over four

Release 11 — 3 months, dose 3

2022-03-14

Symptoms: Pregnancy and miscarriage

Release 12 — 6 months, dose 3

2022-06-12

Symptoms: Allergies/Hay fever

Release 12 — 12 months, dose 3

2022-12-14

Symptoms: COVID-19 Cough Congestion Sneezing Diarrhea Body aches Headache Secondary bacterial infection

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	Adenomyosis	·	·	✓
SD	Back pain	✓	✓	✓
SD	Bacterial infection	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Headache	✓	✓	✓
SD	Infection	·	·	✓
SD	Menstrual disorder	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Oligomenorrhoea	✓	✓	✓
SD	Ovarian cyst	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sneezing	·	·	✓

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