5FB-12416-06110 · OpenVSafe

Timeline

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

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-05-10
Registered in v-safe
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Norovirus infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Norovirus

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — 6 months, 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

1 call case(s)
2021-09-20
Call 1 — Left Voicemail
2021-12-07
Dose 3 — Moderna
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-07
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Eczema, Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Joint pain. Eczema. Rashes. · Healthcare visit (other): Family doctor

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-08
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	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech
3	2021-12-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-17	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-07	Successful 2022-06-08	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Norovirus

Release 11 — 6 months, dose 3

2022-06-07

Symptoms: Joint pain. Eczema. Rashes.

Healthcare visit (other): Family doctor

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	Arthralgia	·	·	✓
SD	Eczema	·	·	✓
SD	Norovirus infection	·	·	✓
SD	Rash	·	·	✓

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