Z2H-26069-36922

4 vaccinations 4 coded responses 43 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 480 / MI
Registered: 2021-04-13

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

Registered dependents

GSZ-15081-92229 Child or adolescent in my care · Male · 2022-06-29

RFH-31561-34475 Child or adolescent in my care · Female · 2023-05-08

Timeline

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

2021-03-21
Dose 1 — Pfizer-BioNTech
2021-04-11
Dose 2 — Pfizer-BioNTech
2021-04-13
Registered in v-safe
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 21, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Good · Be unable to do your normal daily activities

Free text: Very heavy first period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-16
Survey response — day 35, dose 2
MedDRA: Office visit, Uterine polyp — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Uterine polyps · Healthcare visit (other): Dr visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — 3 months, dose 2
Feeling: Good

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

Adult check-in
2021-10-15
Dose 3 — Pfizer-BioNTech
2021-10-15
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-22
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-29
Survey response — day 14, dose 3
MedDRA: Ovulation delayed — Feeling: Good

Free text: Late ovulation by about 9 days

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-11
Call 1 — Left Voicemail
2022-09-22
Dose 4 — Pfizer-BioNTech
2022-09-22
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-24
Survey response — days 1–6 daily, dose 4
MedDRA: Anxiety — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-23
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-11	Pfizer-BioNTech
3	2021-10-15	Pfizer-BioNTech	No
4	2022-09-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-16	Unsuccessful

Free text

Release 8 — day 21, dose 2

2021-05-03

Symptoms: Very heavy first period

Release 8 — day 35, dose 2

2021-05-16

Symptoms: Uterine polyps

Healthcare visit (other): Dr visit

Release 10 — day 14, dose 3

2021-10-29

Symptoms: Late ovulation by about 9 days

Release 12 — days 1–6 daily, dose 4

2022-09-24

Systemic reaction (other): Anxiety

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
HCVO	Office visit	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Ovulation delayed	·	·	✓
SD	Uterine polyp	✓	✓	✓
SRO	Anxiety	·	·	✓

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