W6G-21771-38975

1 vaccination 8 coded responses 13 check-ins 8 free-text entries 7 call cases

Sex: —
Age at first dose: 46-50
ZIP prefix: 274 / NC
Registered: 2021-05-01

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-04-28
Dose 1 — Pfizer-BioNTech
2021-05-01
Registered in v-safe
2021-05-01
Survey response — days 1–6 daily, dose 1
MedDRA: Abortion spontaneous, Dysmenorrhoea, Menstrual disorder — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Suddenly menstruated less than 24 hours after dose. Extreme heavy bleeding. Extreme cramping. Worse than miscarriage pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dysmenorrhoea, Medical counselling, Menstruation irregular — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Painful, 2 week early menstruation continuing · Healthcare visit (other): Pharmacist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Menstrual disorder — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Continued period issues · Healthcare visit (other): Symptoms are getting worse rather than better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, 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 activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-05-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-14
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work, 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: Epstein Barr/Chronic Fatigue/ Fibromyalgia flare up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Migraine — Feeling: Fair · Be unable to work, 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: MigraineAbdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Survey response — day 28, dose 1
MedDRA: Menstrual disorder, Office visit — Feeling: Poor · Be unable to work, 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: Symptoms: Second horrible period. · Healthcare visit (other): Therapist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Health check-in — day 35, dose 1
Feeling: Poor

Adult check-in
2021-06-09
Survey response — day 42, dose 1
MedDRA: Condition aggravated, Diarrhoea, Pre-existing disease — Feeling: Fair · Be unable to work

Free text: Flare of inflammatory issues, diarrhea, family crisis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Survey response — 3 months, dose 1
MedDRA: Diarrhoea, Nightmare — Feeling: Fair · 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: Diarrhea, nightmares

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 1 — Left Voicemail
2021-10-28
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-04-28
Health check-in — 12 months, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-28	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-02	Unsuccessful
2021-05-03	Unsuccessful
2021-05-04	Unsuccessful
2021-05-14	Unsuccessful
2021-05-19	Unsuccessful
2021-05-26	Unsuccessful
2021-07-28	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-01

Systemic reaction (other): Suddenly menstruated less than 24 hours after dose. Extreme heavy bleeding. Extreme cramping. Worse than miscarriage pain.

2021-05-02

Systemic reaction (other): Painful, 2 week early menstruation continuing

Healthcare visit (other): Pharmacist

2021-05-03

Systemic reaction (other): Continued period issues

Healthcare visit (other): Symptoms are getting worse rather than better.

Release 8 — day 14, dose 1

2021-05-14

Symptoms: Epstein Barr/Chronic Fatigue/ Fibromyalgia flare up

Release 8 — day 21, dose 1

2021-05-19

Symptoms: MigraineAbdominal pain

Release 8 — day 28, dose 1

2021-05-26

Symptoms: Second horrible period.

Healthcare visit (other): Therapist

Release 8 — day 42, dose 1

2021-06-09

Symptoms: Flare of inflammatory issues, diarrhea, family crisis

Release 9 — 3 months, dose 1

2021-07-28

Symptoms: Diarrhea, nightmares

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
HCVO	Adverse reaction	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nightmare	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Abortion spontaneous	✓	✓	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓

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