YLY-30665-40777
4 vaccinations
7 coded responses
35 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 041 / ME
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Pfizer-BioNTech
-
2021-04-10
Registered in v-safe
-
2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Tremor — Feeling: Poor · Headache, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Shaky, light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
-
2021-05-03
Dose 2 — Pfizer-BioNTech
- 2021-05-14
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-08-02
- 2021-11-01
-
2021-12-17
Dose 3 — Moderna
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Dyspepsia, Office visit, Pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Heartburn... I had really bad heartburn the day after the moderna booster. I went to urgent care... and nearly went to the emergency room because I was desperate for pain relief.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-19
Report sent to call center — days 1–6 daily, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-31
- 2022-01-05
-
2022-01-05
Callback requested for05:30PM ET
- 2022-01-07
-
2022-01-10
Call successfulCompleted over the phone
-
2022-01-16
Survey response — day 28, dose 3MedDRA: Heavy menstrual bleeding, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Since receiving the moderna booster, I have been having heavy menstrual bleeding every 2 weeks, accompanied with intense nausea, which is not normal for me, at all.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-21
Survey response — day 35, dose 3MedDRA: Abdominal distension, Dyspepsia, Eating disorder, Gastrooesophageal reflux disease, Haemangioma of liver, Ultrasound abdomen abnormal — Feeling: PoorFree text: An abdominal ultrasound showed that I have a hepatic hemangioma, 0.8 cm in size. I have bloating, heartburn, acid reflux, and difficulty eating.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-30
Survey response — day 42, dose 3MedDRA: Menstruation irregular — Feeling: FairFree text: I am continuing to have periods every two weeks since receiving the moderna vaccine... which is not normal for me.MedDRA releases: 2024-11 · check-in free text available
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2022-03-20
Survey response — 3 months, dose 3MedDRA: Ovarian enlargement, Ultrasound ovary abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Very enlarged ovaries, diagnosed by ultrasound.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-20
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-22
-
2022-03-30
Call successfulCompleted over the phone
-
2022-10-14
Dose 4 — Pfizer-BioNTech
- 2022-10-29
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
-
2023-01-13
Survey response — 3 months, dose 4MedDRA: Constipation, Decreased appetite, Diarrhoea, Dyspepsia, Gastrointestinal disorder, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-13
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | |
| 2 | 2021-05-03 | Pfizer-BioNTech | |
| 3 | 2021-12-17 | Moderna | No |
| 4 | 2022-10-14 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-10 | Successful | Completed over the phone |
| 2021-12-19 | Successful 2022-01-10 |
Completed over the phone |
| 2022-03-20 | Successful 2022-03-30 |
Completed over the phone |
| 2023-01-13 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Shaky, light headed
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Heartburn... I had really bad heartburn the day after the moderna booster. I went to urgent care... and nearly went to the emergency room because I was desperate for pain relief.
Release 10 — day 28, dose 3
Symptoms: Since receiving the moderna booster, I have been having heavy menstrual bleeding every 2 weeks, accompanied with intense nausea, which is not normal for me, at all.
Release 11 — day 35, dose 3
Symptoms: An abdominal ultrasound showed that I have a hepatic hemangioma, 0.8 cm in size. I have bloating, heartburn, acid reflux, and difficulty eating.
Release 11 — day 42, dose 3
Symptoms: I am continuing to have periods every two weeks since receiving the moderna vaccine... which is not normal for me.
Release 11 — 3 months, dose 3
Symptoms: Very enlarged ovaries, diagnosed by ultrasound.
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 | Abdominal distension | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Eating disorder | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Haemangioma of liver | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Ovarian enlargement | · | · | ✓ |
| SD | Ultrasound abdomen abnormal | · | · | ✓ |
| SD | Ultrasound ovary abnormal | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release