54A-27635-02510 · OpenVSafe

Timeline

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

2021-09-17
Registered in v-safe
2021-09-17
Dose 1 — Pfizer-BioNTech
2021-09-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-09-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-09-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-09-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-09-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-09-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-10-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-10-08
Dose 2 — Pfizer-BioNTech
2021-10-15
Survey response — day 7, dose 2
MedDRA: Immunisation reaction — Feeling: Good · Site: Redness

Free text: Have COVID arm where second injection occurred.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-05
Survey response — day 28, dose 2
MedDRA: Pre-existing disease, Premature separation of placenta, Stillbirth — Feeling: Good · 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, Hospitalization

Free text: Wednesday 10/27, I delivered my baby boy stillbirth. 75% of my placenta had detached. Previously diagnosed with complete placenta previa.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Report sent to call center — day 28, dose 2
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 · Hospitalization · 1 call case(s)
2021-11-08
Call 1 — Left Voicemail
2021-11-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-17	Pfizer-BioNTech	No
2	2021-10-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-05	Unsuccessful

Free text

Release 10 — day 7, dose 2

2021-10-15

Systemic reaction (other): Have COVID arm where second injection occurred.

Release 10 — day 28, dose 2

2021-11-05

Symptoms: Wednesday 10/27, I delivered my baby boy stillbirth. 75% of my placenta had detached. Previously diagnosed with complete placenta previa.

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
SD	Pre-existing disease	·	·	✓
SD	Premature separation of placenta	·	·	✓
SD	Stillbirth	·	·	✓
SRO	Immunisation reaction	·	·	✓

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