Y7Z-25173-56347

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 221 / VA
Registered: 2021-02-14

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

Timeline

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

2021-02-14
Registered in v-safe
2021-03-22
Dose 1 — Pfizer-BioNTech
2021-04-06
Survey response — day 14, dose 1
MedDRA: Asthenia, Muscle spasms, Nausea, Ovarian cyst ruptured, Pelvic pain, 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, Outpatient clinic or urgent care clinic visit

Free text: Ovarian cyst rupture 1st time everPelvic pain and cramping not on my period, lasted for 2 weeks thus farDebilitating nausea might go to ER, unprecedentedI have fibroids and endometriosis, and this feels related and extreme-unusual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
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)
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Fair · Chills

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Dysmenorrhoea, Nausea — Feeling: Good · 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: Menstrual cramping despite not having my period and being on non-stop birth control pills (highly unusual)Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-20
Survey response — days 1–6 daily, dose 3
MedDRA: Catarrh, Cough, Upper-airway cough syndrome — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Post nasal drip, mucus generation, coughing

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain, Secretion discharge, Upper-airway cough syndrome — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Post nasal drip, mucus generation, coughing, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion — Feeling: Fair · Fatigue or tiredness

Free text: Nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation — Feeling: Fair · Nausea

Free text: Constipation

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Survey response — day 14, dose 3
MedDRA: Intermenstrual bleeding, Menstruation irregular, Reaction to previous exposure to any vaccine — Feeling: Good · Be unable to do your normal daily activities

Free text: Break through period (I'm on nonstop birth control pills and never have periods)-this happened after my first and maybe second shot as well

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Call 1 — Left Voicemail
2022-03-29
Call successful
Participant prefers to complete VAERS report online
2022-03-29
Call successful
Participant prefers to complete VAERS report online
2022-04-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-18
Survey response — 12 months, dose 3
MedDRA: COVID-19 — 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, Outpatient clinic or urgent care clinic visit

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-19
Call 1 — Could Not Reach Participant
2022-10-24
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech
3	2021-10-18	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-04-06	Successful 2022-03-29	Participant prefers to complete VAERS report online
2021-04-29	Successful 2022-03-29	Participant prefers to complete VAERS report online
2022-10-18	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Ovarian cyst rupture 1st time everPelvic pain and cramping not on my period, lasted for 2 weeks thus farDebilitating nausea might go to ER, unprecedentedI have fibroids and endometriosis, and this feels related and extreme-unusual

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Menstrual cramping despite not having my period and being on non-stop birth control pills (highly unusual)Nausea

Release 10 — days 1–6 daily, dose 3

2021-10-20

Systemic reaction (other): Post nasal drip, mucus generation, coughing

2021-10-21

Systemic reaction (other): Post nasal drip, mucus generation, coughing, sore throat

2021-10-22

Systemic reaction (other): Nasal congestion

2021-10-23

Systemic reaction (other): Constipation

Release 10 — day 14, dose 3

2021-11-01

Symptoms: Break through period (I'm on nonstop birth control pills and never have periods)-this happened after my first and maybe second shot as well

Release 12 — 12 months, dose 3

2022-10-18

Symptoms: Covid

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	Asthenia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Intermenstrual bleeding	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Ovarian cyst ruptured	✓	✓	✓
SD	Pelvic pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Catarrh	·	·	✓
SRO	Constipation	·	·	✓
SRO	Cough	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Secretion discharge	·	·	✓
SRO	Upper-airway cough syndrome	·	·	✓

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