54P-38613-09937 · OpenVSafe

Timeline

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

2021-01-21
Dose 1 — Pfizer-BioNTech
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-03-12
Registered in v-safe
2021-03-12
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Asthenia, Back pain, Epstein-Barr virus infection, Fatigue, Malaise, Renal pain — 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, Outpatient clinic or urgent care clinic visit

Free text: About a week after my first vaccine I became very ill. My abdomen and back started to hurt really bad and I became very tired and weak. It was discovered through labs that I have an active case of the Epstein-Barr Virus. I still have kidney pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 14, 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)
2021-03-25
Survey response — day 28, dose 2
MedDRA: Fatigue, Malaise, Renal pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Still dont feel well. Tired and kidneys hurt. Painful to make it through day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 35, dose 2
MedDRA: Abdominal pain, Fatigue, Office visit, Telemedicine — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have pain in my abdomen. I feel very tired. I am seeing a nephrologist and doing lab work. If he cant find the reason I will have to see an infectious disease expert. I have had to telework for about 7 weeks. · Healthcare visit (other): Specialist care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 14, dose 2

2021-03-12

Symptoms: About a week after my first vaccine I became very ill. My abdomen and back started to hurt really bad and I became very tired and weak. It was discovered through labs that I have an active case of the Epstein-Barr Virus. I still have kidney pain.

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Still dont feel well. Tired and kidneys hurt. Painful to make it through day.

Release 6 — day 35, dose 2

2021-04-01

Symptoms: I have pain in my abdomen. I feel very tired. I am seeing a nephrologist and doing lab work. If he cant find the reason I will have to see an infectious disease expert. I have had to telework for about 7 weeks.

Healthcare visit (other): Specialist care

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	Office visit	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Epstein-Barr virus infection	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Renal pain	✓	✓	✓
SD	Telemedicine	✓	✓	✓

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