49C-27252-51467 · OpenVSafe

Timeline

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

2021-03-23
Dose 1 — Pfizer-BioNTech
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-05-16
Registered in v-safe
2021-05-16
Survey response — day 28, dose 2
MedDRA: Chills, Emergency care, Fall, Hypoaesthesia, Hypoaesthesia oral, Lip injury, Loss of consciousness, Rash, Tooth fracture, Tooth injury, Tremor — Feeling: Poor · Be unable to work, 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: Symptoms: I experienced very severe shakes and chills and have broke out in a rash all over my body which I am still experiencing on May 15, 2021 · Healthcare visit (other): 24 hours after my second shot I passed out and hit a cabinet in my living room where a metal plate went through my top lip busting my teeth I had to go to the emergency room and have my mouth so that from the inside and the outside still have numbness all through my mouth and jaw and have not had my teeth fixed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Report sent to call center — day 28, 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)
2021-05-18
Survey response — day 35, dose 2
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have broke out in a rash that comes and goes sometimes it's very severe and sometimes it's very mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-02-13
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-05-16

Symptoms: I experienced very severe shakes and chills and have broke out in a rash all over my body which I am still experiencing on May 15, 2021

Healthcare visit (other): 24 hours after my second shot I passed out and hit a cabinet in my living room where a metal plate went through my top lip busting my teeth I had to go to the emergency room and have my mouth so that from the inside and the outside still have numbness all through my mouth and jaw and have not had my teeth fixed

Release 8 — day 35, dose 2

2021-05-18

Symptoms: I have broke out in a rash that comes and goes sometimes it's very severe and sometimes it's very mild

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	Emergency care	✓	✓	✓
HCVO	Fall	✓	·	✓
HCVO	Hypoaesthesia	✓	✓	✓
HCVO	Hypoaesthesia oral	✓	✓	✓
HCVO	Lip injury	✓	✓	✓
HCVO	Loss of consciousness	✓	✓	✓
HCVO	Tooth fracture	✓	·	✓
HCVO	Tooth injury	○	✓	○
SD	Chills	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Tremor	✓	✓	✓

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