HX9-32940-15021 · OpenVSafe

Timeline

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

2021-11-05
Dose 1 — Pfizer-BioNTech
2021-11-08
Registered in v-safe
2021-11-08
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-12
Survey response — day 7, dose 1, dependent
MedDRA: SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Headache

Free text: Has recently had an apparent URI, COVID PCR negative

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Dose 2 — Pfizer-BioNTech
2021-11-28
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-02-25
Survey response — 3 months, dose 2, dependent
MedDRA: Abdominal discomfort, Exposure to SARS-CoV-2, Gastroenteritis, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: apparent gastroenteritis w/ ongoing intermittent abdominal discomfort (family w/ similar abdominal discomfort at onset. URI w/ a close contact positive for OC43. close contact with COVID + house hold members for 5 week, (b)(6) w/ negative COVID PCRs

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-05	Pfizer-BioNTech	No
2	2021-11-26	Pfizer-BioNTech	No

Free text

Release 10 — day 7, dose 1, dependent

2021-11-12

Systemic reaction (other): Has recently had an apparent URI, COVID PCR negative

Release 11 — 3 months, dose 2, dependent

2022-02-25

Symptoms: apparent gastroenteritis w/ ongoing intermittent abdominal discomfort (family w/ similar abdominal discomfort at onset. URI w/ a close contact positive for OC43. close contact with COVID + house hold members for 5 week, (b)(6) w/ negative COVID PCRs cut off by CDC

redacted (b)(6)

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 discomfort	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Gastroenteritis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓
SRO	Upper respiratory tract infection	·	·	✓

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