OpenVSafe by OpenVAERS
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4M4-11383-97272

1 vaccination 5 coded responses 12 check-ins 5 free-text entries 3 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
124 / NY
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-10
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Redness · Diarrhea
    Adult check-in
  4. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Lower Back Pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Poor · Fever · Chills, Muscle or body aches, Diarrhea
    Adult check-in
  7. 2021-03-24
    Survey response — day 14, dose 1
    MedDRA: Chills, Dyspnoea, Insomnia, Office visit, Pyrexia, Sleep disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Had occasional fevers and chills but they seem to have subsided. Still experiencing Difficulty breathing at times and difficulty sleeping because of the breathing issues.Several Doctor follow up visits and will continue to seek treatment.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-05
    Survey response — day 21, dose 1
    MedDRA: Hospitalisation, Intensive care, Pneumonia, Stent placement — 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, Hospitalization
    Free text: Spent 13 days in ICU AND HAD STENT PUT IN HEART VALVE AND Pneumonia in both lungs. Looking for advice about obtaining 2nd doseage after discharge from (b)(6) Medical Center 4-4-2021.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-05
    Report sent to call center — day 21, dose 1
    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)
  10. 2021-04-07
    Survey response — day 28, dose 1
    MedDRA: Coronary arterial stent insertion, Office visit, Postoperative care — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Symptoms: Recovering from having a stent placed in my heart.Trying to get advice about getting second dose so soon after heart surgery. Please contact me. · Healthcare visit (other): Doctor Visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-07
    Report sent to call center — day 28, dose 1
    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)
  12. 2021-04-14
    Survey response — day 35, dose 1
    MedDRA: Emergency care — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: In the hospital. Still waiting for your phone call.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-14
    Report sent to call center — day 35, dose 1
    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)
  14. 2021-04-21
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-06-09
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-09-08
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in
  17. 2021-12-21
  18. 2021-12-21
    Call successful
    Participant prefers to complete VAERS report online
  19. 2022-03-14
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Pfizer-BioNTech

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Lower Back Pain

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Had occasional fevers and chills but they seem to have subsided. Still experiencing Difficulty breathing at times and difficulty sleeping because of the breathing issues.Several Doctor follow up visits and will continue to seek treatment.

Release 6 — day 21, dose 1

2021-04-05

Symptoms: Spent 13 days in ICU AND HAD STENT PUT IN HEART VALVE AND Pneumonia in both lungs. Looking for advice about obtaining 2nd doseage after discharge from (b)(6) Medical Center 4-4-2021.
redacted (b)(6)

Release 7 — day 28, dose 1

2021-04-07

Symptoms: Recovering from having a stent placed in my heart.Trying to get advice about getting second dose so soon after heart surgery. Please contact me.
Healthcare visit (other): Doctor Visit

Release 7 — day 35, dose 1

2021-04-14

Symptoms: In the hospital. Still waiting for your phone call.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCoronary arterial stent insertion ✓ · ✓
SDDyspnoea ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDInsomnia ✓ ✓ ○
SDIntensive care ✓ ✓ ✓
SDOffice visit · · ✓
SDPneumonia ✓ ✓ ✓
SDPostoperative care ○ ✓ ○
SDPyrexia ✓ ✓ ✓
SDSleep disorder · · ✓
SDStent placement ✓ ✓ ✓
SROBack pain ✓ ✓ ✓

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