OpenVSafe by OpenVAERS
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64S-28366-11872

3 vaccinations 7 coded responses 26 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
12-15
ZIP prefix
606 / IL
Registered
2021-08-13
Relationship
Child or adolescent in my care
Guardian
YWV-20687-86873
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-13
    Registered in v-safe
  2. 2021-08-14
    Dose 1 — Pfizer-BioNTech
  3. 2021-08-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-08-16
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Nausea, Vomiting, Diarrhea, Abdominal pain
    Adult check-in
  5. 2021-08-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Vomiting, Diarrhea
    Adult check-in
  6. 2021-08-18
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  7. 2021-08-28
    Survey response — day 14, dose 1, dependent
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Diarrhea
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-09-04
    Dose 2 — Pfizer-BioNTech
  9. 2021-09-04
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-09-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do their normal daily activities
    Adult check-in
  11. 2021-09-07
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do their normal daily activities
    Adult check-in
  12. 2021-09-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-09-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-09-11
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-09-18
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2021-09-25
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2021-10-02
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2021-10-11
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2021-10-16
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2021-12-04
  21. 2022-01-28
    Dose 3 — Pfizer-BioNTech
  22. 2022-02-05
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  23. 2022-02-11
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  24. 2022-02-20
    Health check-in — day 21, dose 3, dependent
    Feeling: Fair
    Adult check-in
  25. 2022-02-26
    Survey response — day 28, dose 3, dependent
    MedDRA: Abdominal discomfort, Pain, Pruritus, Rash — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Soreness, itching, rash on face, upset stomach
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-03-06
    Survey response — day 35, dose 3, dependent
    MedDRA: Back pain, Injection site pain, Muscle spasms, Nausea, Rash — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Back pain, nauseous, cramps, sore near injection site and rash on forehead and chest.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-03-11
    Survey response — day 42, dose 3, dependent
    MedDRA: Abdominal pain upper, Back pain, Injection site pain, Pain in extremity, Rash — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Rash on face, stomach cramps, back and leg pain and soreness near injection site.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-04-29
    Survey response — 3 months, dose 3, dependent
    MedDRA: Dry mouth, Sneezing — Feeling: Good
    Free text: Sneezing and dry mouth
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-07-29
    Survey response — 6 months, dose 3, dependent
    MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sore throat, cough and fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2023-01-28
    Survey response — 12 months, dose 3, dependent
    MedDRA: Stomatitis — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-08-14Pfizer-BioNTech No
22021-09-04Pfizer-BioNTech No
32022-01-28Pfizer-BioNTech No

Free text

Release 9 — day 14, dose 1, dependent

2021-08-28

Symptoms: Diarrhea

Release 11 — day 28, dose 3, dependent

2022-02-26

Symptoms: Soreness, itching, rash on face, upset stomach

Release 11 — day 35, dose 3, dependent

2022-03-06

Symptoms: Back pain, nauseous, cramps, sore near injection site and rash on forehead and chest.

Release 11 — day 42, dose 3, dependent

2022-03-11

Symptoms: Rash on face, stomach cramps, back and leg pain and soreness near injection site.

Release 11 — 3 months, dose 3, dependent

2022-04-29

Symptoms: Sneezing and dry mouth

Release 12 — 6 months, dose 3, dependent

2022-07-29

Symptoms: Sore throat, cough and fatigue.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort · · ✓
SDAbdominal pain upper · · ✓
SDBack pain · · ✓
SDCough · · ✓
SDDiarrhoea ✓ · ✓
SDDry mouth · · ✓
SDFatigue · · ✓
SDInjection site pain · · ✓
SDMuscle spasms · · ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDPruritus · · ✓
SDRash · · ✓
SDSneezing · · ✓
SDStomatitis · · ✓

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