Z93-70584-45780

4 vaccinations 16 coded responses 45 check-ins 16 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 704 / LA
Registered: 2021-03-12

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

5L4-14998-37066 Child or adolescent in my care · Female · 2022-06-25

Timeline

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

2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Good

Free text: Difficulty sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Heavy menstrual bleeding, Hypertension, Tinnitus — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Heavy menstrual bleeding, high blood pressure, high pulse rate, Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Heavy menstrual bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Medical counselling, Medical observation, Vertigo — 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

Free text: Systemic reaction (other): Dizziness, Vertigo · Healthcare visit (other): Nurse hotline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Report sent to call center — days 1–6 daily, dose 2
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)
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — day 7, dose 2
MedDRA: Dizziness postural — Feeling: Fair · Fatigue or tiredness

Free text: Dizzy when bending over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 14, dose 2
MedDRA: Dizziness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Still dizzy when bending over. · Healthcare visit (other): Awaiting appointment

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

1 call case(s)
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 35, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Good

Free text: Heavy period of high was atypical pre-vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 42, dose 2
MedDRA: Migraine, Nausea — Feeling: Fair

Free text: Nausea also migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Call 2 — Left Voicemail
2021-06-16
Call 2 — Left Voicemail
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Amblyopia, Condition aggravated, Eye disorder, Pre-existing disease, Temperature regulation disorder — Feeling: Fair · 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: Dropping eye, cannot regulate temperature, increased insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call 2 — Left Voicemail
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Pfizer-BioNTech
2021-11-04
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · 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
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Poor · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Report sent to call center — days 1–6 daily, 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

Emergency room or emergency department visit · 1 call case(s)
2021-11-10
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Call 2 — Left Voicemail
2021-11-12
Survey response — day 7, dose 3
MedDRA: Chest pain — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-05
Survey response — 3 months, dose 3
MedDRA: Abdominal pain lower — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain in right lower quadrant

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — 6 months, dose 3
MedDRA: Abdominal pain upper, Fatigue, Gastrointestinal disorder, Weight decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lost weight, bowel issues ripper upper quadrant pain, fatigue,

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-09-04
Dose 4 — Moderna
2022-09-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-09-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache

Adult check-in
2022-09-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-11
Health check-in — day 7, dose 4
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2022-09-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-11-04	Pfizer-BioNTech	No
4	2022-09-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-04	Unsuccessful
2021-04-14	Unsuccessful
2021-07-01	Unsuccessful
2021-11-09	Unsuccessful
2022-05-07	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Difficulty sleeping

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Heavy menstrual bleeding, high blood pressure, high pulse rate, Tinnitus

2021-04-02

Systemic reaction (other): Heavy menstrual bleeding

2021-04-03

Systemic reaction (other): Dizziness, Vertigo

2021-04-04

Systemic reaction (other): Dizziness, Vertigo

Healthcare visit (other): Nurse hotline

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Dizzy when bending over

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Still dizzy when bending over.

Healthcare visit (other): Awaiting appointment

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Heavy period of high was atypical pre-vaccine

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Nausea also migraine

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Dropping eye, cannot regulate temperature, increased insomnia

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Chest pain

2021-11-09

Systemic reaction (other): Chest pain

2021-11-10

Systemic reaction (other): Chest pain

Release 10 — day 7, dose 3

2021-11-12

Systemic reaction (other): Chest pain

Release 11 — 3 months, dose 3

2022-02-05

Symptoms: Pain in right lower quadrant

Release 11 — 6 months, dose 3

2022-05-07

Symptoms: Lost weight, bowel issues ripper upper quadrant pain, fatigue,

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	Medical counselling	·	·	✓
HCVO	Medical observation	✓	✓	○
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain lower	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Amblyopia	○	✓	○
SD	Condition aggravated	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Eye disorder	✓	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Temperature regulation disorder	✓	✓	✓
SD	Weight decreased	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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