5KH-61720-92371 · OpenVSafe

Timeline

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

2021-03-27
Dose 1 — Pfizer-BioNTech
2021-04-17
Dose 2 — Pfizer-BioNTech
2021-04-18
Registered in v-safe
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Breast tenderness, Inflammation, Injection site warmth, Pancreatitis, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activities

Free text: Inflammation. Injection site is very warm to the touch. Pancreatitis is aggravated. Breast tenderness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Endometriosis, Heart rate increased — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: An increased heart rate and less variability. Also an increase in endometriosis pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Discomfort, Pancreatitis, Pre-existing disease — Feeling: Fair

Free text: Pancreatitis and endometriosis both are sources of discomfort. Prior to the vaccine neither presented a problem for at least a year. Definitely an autoimmune flare up from the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Inflammation, Pain — Feeling: Fair

Free text: Still have increased heart rate and diffuse pain confirming inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Autoimmune disorder, Pre-existing disease — Feeling: Fair

Free text: Autoimmune continues to flare up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Pfizer-BioNTech
2	2021-04-17	Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Inflammation. Injection site is very warm to the touch. Pancreatitis is aggravated. Breast tenderness

2021-04-19

Systemic reaction (other): An increased heart rate and less variability. Also an increase in endometriosis pain

2021-04-20

Systemic reaction (other): Pancreatitis and endometriosis both are sources of discomfort. Prior to the vaccine neither presented a problem for at least a year. Definitely an autoimmune flare up from the vaccine

2021-04-21

Systemic reaction (other): Still have increased heart rate and diffuse pain confirming inflammation

2021-04-22

Systemic reaction (other): Autoimmune continues to flare up

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
SRO	Autoimmune disorder	✓	✓	✓
SRO	Breast tenderness	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Endometriosis	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pancreatitis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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