YMZ-30674-09279

4 vaccinations 14 coded responses 51 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 981 / WA
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Chills

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 35, dose 2
MedDRA: Menstrual disorder, Vaginal haemorrhage — Feeling: Good

Free text: Unpredictable menstrual bleeding abnormal from my regular cycle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Survey response — 6 months, dose 2
MedDRA: Menstruation irregular — Feeling: Good

Free text: Menstrual irregularities

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, 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

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-10-24
Survey response — days 1–6 daily, dose 3
MedDRA: Menstrual disorder — Feeling: Good

Free text: Abnormal menstrual bleeding

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Menstrual disorder — Feeling: Good · Abdominal pain

Free text: Abnormal menstrual bleeding

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — day 7, dose 3
MedDRA: Menstrual disorder — Feeling: Good

Free text: Abnormal menstrual bleeding

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — day 14, dose 3
MedDRA: Ovarian cyst, Urinary tract infection — Feeling: Poor · 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: UTI, symptomatic ovarian cyst

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-03
Call successful
Participant prefers to complete VAERS report online
2021-11-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-18
Survey response — 3 months, dose 3
MedDRA: Cyst, Muscle tightness, Radiculopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cysts, muscle tension, nerve impingement

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Dose 4 — Moderna
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain

Adult check-in
2022-04-08
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Lymphadenopathy, Pre-existing disease, Tonsillar hypertrophy — Feeling: Fair · Site: Pain, Swelling

Free text: Cold Sore flare up, swollen lymph node and tonsil on right side

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy, Oral herpes — Feeling: Fair · Site: Swelling

Free text: Cold sore, swollen lymph node on right side of nexk

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenitis, Oral herpes — Feeling: Good · Site: Swelling

Free text: Cold sore, inflamed lymph node on right side of neck

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Survey response — day 7, dose 4
MedDRA: Lymphadenopathy, Oral herpes — Feeling: Good · Site: Swelling

Free text: Cold sore, swollen lymph node on right side of neck

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Survey response — day 14, dose 4
MedDRA: Menstruation irregular — Feeling: Fair · Be unable to do your normal daily activities

Free text: Menstrual irregularities

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — day 21, dose 4
MedDRA: Menstrual disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening menstrual cycles

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Survey response — day 28, dose 4
MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding, Menstrual disorder — Feeling: Good · 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: Worsening menstrual flow - heavy plus a ton of clots

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-04
Call 1 — Left Voicemail
2022-05-09
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-05
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-10-19	Pfizer-BioNTech	Flu
4	2022-04-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-02	Successful 2021-11-03	Participant prefers to complete VAERS report online
2022-05-02	Unsuccessful

Free text

Release 8 — day 35, dose 2

2021-04-30

Symptoms: Unpredictable menstrual bleeding abnormal from my regular cycle.

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: Menstrual irregularities

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): Abnormal menstrual bleeding

2021-10-25

Systemic reaction (other): Abnormal menstrual bleeding

Release 10 — day 7, dose 3

2021-10-26

Systemic reaction (other): Abnormal menstrual bleeding

Release 10 — day 14, dose 3

2021-11-02

Symptoms: UTI, symptomatic ovarian cyst

Release 10 — 3 months, dose 3

2022-01-18

Symptoms: Cysts, muscle tension, nerve impingement

Release 11 — days 1–6 daily, dose 4

2022-04-08

Systemic reaction (other): Cold Sore flare up, swollen lymph node and tonsil on right side

2022-04-09

Systemic reaction (other): Cold sore, swollen lymph node on right side of nexk

2022-04-10

Systemic reaction (other): Cold sore, inflamed lymph node on right side of neck

Release 11 — day 7, dose 4

2022-04-11

Systemic reaction (other): Cold sore, swollen lymph node on right side of neck

Release 11 — day 14, dose 4

2022-04-18

Symptoms: Menstrual irregularities

Release 11 — day 21, dose 4

2022-04-25

Symptoms: Worsening menstrual cycles

Release 11 — day 28, dose 4

2022-05-02

Symptoms: Worsening menstrual flow - heavy plus a ton of clots

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	Abnormal menstrual clots	·	·	✓
SD	Cyst	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Menstrual disorder	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Muscle tightness	·	·	✓
SD	Ovarian cyst	·	·	✓
SD	Radiculopathy	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Vaginal haemorrhage	✓	✓	✓
SRO	Condition aggravated	·	·	✓
SRO	Lymphadenitis	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Menstrual disorder	·	·	✓
SRO	Oral herpes	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Tonsillar hypertrophy	·	·	✓

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