5QJ-17958-11046 · OpenVSafe

Timeline

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

2021-10-01
Dose 1 — Pfizer-BioNTech
Co-administered: Flu
2021-11-04
Registered in v-safe
2021-11-19
Dose 2 — Pfizer-BioNTech
2021-12-07
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-24
Survey response — day 35, dose 2, dependent
MedDRA: Abdominal pain upper, Arthralgia, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, stomach ache, shoulder pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — day 42, dose 2, dependent
MedDRA: Ear infection, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Fever Ear infection

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — day 42, dose 2, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-20
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-05-20
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-01	Pfizer-BioNTech	Flu
2	2021-11-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-31	Successful 2022-01-04	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 10 — day 35, dose 2, dependent

2021-12-24

Symptoms: Fever, stomach ache, shoulder pain.

Release 10 — day 42, dose 2, dependent

2021-12-31

Symptoms: Fever Ear infection

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	Abdominal pain upper	·	·	✓
SD	Arthralgia	·	·	✓
SD	Ear infection	·	·	✓
SD	Pyrexia	·	·	✓

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