XE7-14100-86156

3 vaccinations 9 coded responses 32 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 190 / PA
Registered: 2020-12-22

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

LCV-56670-61066 Child or adolescent in my care · Female · 2022-06-28

8YC-22493-23248 Child or adolescent in my care · Female · 2022-06-28

Timeline

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

2020-12-22
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-14
Dose 2 — Pfizer-BioNTech
2021-01-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Headache, Nausea, Diarrhea

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Free text: Pregnanxh

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Good · Headache, Nausea

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness, Nausea, Vomiting

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — day 7, dose 3
MedDRA: Pregnancy — Feeling: Fair · Headache, Nausea

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Survey response — day 35, dose 3
MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat - probable cold

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — 3 months, dose 3
MedDRA: Headache, Nasal congestion, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Stuffy nose, headache, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-14	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-28	Successful 2021-12-30	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)