XFK-11704-38165

4 vaccinations 8 coded responses 30 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 209 / MD
Registered: 2020-12-18

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

Registered dependents

DVV-11690-25768 Child or adolescent in my care · Male · 2022-06-23

TLR-28244-50714 Child or adolescent in my care · Female · 2022-06-23

Timeline

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

2020-12-17
Dose 1 — Pfizer-BioNTech
2020-12-18
Registered in v-safe
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Abdominal pain

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — day 14, dose 1
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-14
Survey response — day 7, dose 2
MedDRA: Pregnancy — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea

Free text: Pregnancy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Low tsh

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-08
Survey response — 3 months, dose 2
MedDRA: Pregnancy, Thyroid disorder, Ventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Continued pvcs - new onset thyroid issues most likely pregnancy related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Call 1 — Left Voicemail
2021-07-08
Survey response — 6 months, dose 2
MedDRA: Thyroid mass — 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: Nodules on right thyroid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Call 1 — Could Not Reach Participant
2021-07-15
Call 2 — Could Not Reach Participant
2021-10-22
Dose 3 — Pfizer-BioNTech
2022-01-07
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-01-21
Survey response — 3 months, dose 3
MedDRA: Spinal pain — Feeling: Good

Free text: Cervical spine pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — 6 months, dose 3
MedDRA: Cough, Fatigue, Influenza, Pyrexia — 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 · Outpatient clinic or urgent care clinic visit

Free text: Flu (cough, fever, exhaustion)

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-16
Dose 4 — Pfizer-BioNTech
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-02
Survey response — day 14, dose 4
MedDRA: Hand-foot-and-mouth disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Got hand foot and mouth from kids

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-17	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech
3	2021-10-22	Pfizer-BioNTech	No
4	2022-09-16	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-18	Successful 2021-03-13	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-08	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-08	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-22	Successful 2022-04-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — day 14, dose 1

2020-12-31

Symptoms: Pregnant

Release 2 — day 7, dose 2

2021-01-14

Systemic reaction (other): Pregnancy

Release 4 — day 42, dose 2

2021-02-18

Symptoms: Low tsh

Release 7 — 3 months, dose 2

2021-04-08

Symptoms: Continued pvcs - new onset thyroid issues most likely pregnancy related

Release 9 — 6 months, dose 2

2021-07-08

Symptoms: Nodules on right thyroid

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Cervical spine pain

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: Flu (cough, fever, exhaustion)

Release 12 — day 14, dose 4

2022-10-02

Symptoms: Got hand foot and mouth from kids

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	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Hand-foot-and-mouth disease	·	·	✓
SD	Influenza	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Spinal pain	·	·	✓
SD	Thyroid disorder	✓	✓	✓
SD	Thyroid mass	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Ventricular extrasystoles	✓	✓	✓
SRO	Pregnancy	✓	✓	✓

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