ZCK-14851-34772

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 388 / MS
Registered: 2021-08-02

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

2021-08-02
Registered in v-safe
2021-08-02
Dose 1 — Pfizer-BioNTech
2021-08-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-08-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-08-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-08-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-08-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-23
Dose 2 — Pfizer-BioNTech
2021-08-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-24
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, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-25
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Nausea, Diarrhea

Free text: Increased heart rate

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — days 1–6 daily, dose 2
MedDRA: Haemoptysis, Respiratory tract congestion, Secretion discharge — Feeling: Good

Free text: Congestion/coughing up bloody or brown mucus

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-08-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-09-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-27
Survey response — day 35, dose 2
MedDRA: Foetal hypokinesia, Pregnancy, Premature labour, Uterine irritability — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Im 34 weeks pregnant. Last week I had decreased fetal movement and possible leaking of fluid. I was also having mild contractions. My baby is fine and I wasnt leaking fluid, but I was diagnosed with uterine irritability. I am home now & doing w

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-09-28
Call 1 — Left Voicemail
2021-10-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-22
Survey response — 3 months, dose 2
MedDRA: Mastitis postpartum, Perineal injury, Term baby — 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, Emergency room or emergency department visit, Hospitalization

Free text: I delivered my baby girl (full term) in October. I had a fourth degree tear during labor. I developed mastitis postpartum.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-11-23
Call successful
Participant prefers to complete VAERS report online
2021-11-23
Call successful
Participant prefers to complete VAERS report online
2022-02-21
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, COVID-19, SARS-CoV-2 test — 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: Symptoms: I was diagnosed with Covid on 1/25/22. I also experienced severe abdominal pain (possible enterocolitis) on 2/14/22. · Healthcare visit (other): Drive-thru Covid testing

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Report sent to call center — 6 months, dose 2
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)
2022-02-23
Call 1 — Left Voicemail
2022-08-26
Survey response — 12 months, dose 2
MedDRA: Appendicitis, Mastitis, Sepsis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Appendicitis, mastitis, and sepsis

MedDRA releases: 2024-11 · check-in free text available
2022-08-26
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-08-29
Call 2 — Left Voicemail
2022-08-29
Call 1 — Left Voicemail
2022-09-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-02	Pfizer-BioNTech	No
2	2021-08-23	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-27	Successful 2021-11-23	Participant prefers to complete VAERS report online
2021-11-22	Successful 2021-11-23	Participant prefers to complete VAERS report online
2022-02-21	Successful 2022-09-21	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-26	Successful 2022-09-21	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 9 — days 1–6 daily, dose 2

2021-08-25

Systemic reaction (other): Increased heart rate

2021-08-26

Systemic reaction (other): Congestion/coughing up bloody or brown mucus

Release 9 — day 35, dose 2

2021-09-27

Symptoms: Im 34 weeks pregnant. Last week I had decreased fetal movement and possible leaking of fluid. I was also having mild contractions. My baby is fine and I wasnt leaking fluid, but I was diagnosed with uterine irritability. I am home now & doing w

Release 10 — 3 months, dose 2

2021-11-22

Symptoms: I delivered my baby girl (full term) in October. I had a fourth degree tear during labor. I developed mastitis postpartum.

Release 11 — 6 months, dose 2

2022-02-21

Symptoms: I was diagnosed with Covid on 1/25/22. I also experienced severe abdominal pain (possible enterocolitis) on 2/14/22.

Healthcare visit (other): Drive-thru Covid testing

Release 12 — 12 months, dose 2

2022-08-26

Symptoms: Appendicitis, mastitis, and sepsis

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	SARS-CoV-2 test	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Appendicitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Foetal hypokinesia	·	·	✓
SD	Mastitis	·	·	✓
SD	Mastitis postpartum	·	·	✓
SD	Perineal injury	·	·	✓
SD	Pregnancy	·	·	✓
SD	Premature labour	·	·	✓
SD	Sepsis	·	·	✓
SD	Term baby	·	·	✓
SD	Uterine irritability	·	·	✓
SRO	Haemoptysis	✓	·	✓
SRO	Heart rate increased	✓	·	✓
SRO	Respiratory tract congestion	✓	·	✓
SRO	Secretion discharge	✓	·	✓

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