QCS-10276-30380 · OpenVSafe

Timeline

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

2021-01-20
Dose 1 — Pfizer-BioNTech
2021-02-10
Dose 2 — Pfizer-BioNTech
2021-09-01
Dose 3 — Pfizer-BioNTech
2021-10-10
Registered in v-safe
2021-10-10
Health check-in — day 35, dose 3, dependent
Feeling: Fair

Adult check-in
2021-10-15
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2021-12-03
Survey response — 3 months, dose 3, dependent
MedDRA: Hip fracture, Surgery — Feeling: Good · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Broken hip accompanied by new use of oxygen. I don't think anything related to covid shots. · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — 3 months, dose 3, dependent
Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-12-07
Call successful
Participant prefers to complete VAERS report online
2022-03-02
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-02
Health check-in — 12 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Pfizer-BioNTech	No
2	2021-02-10	Pfizer-BioNTech	No
3	2021-09-01	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — 3 months, dose 3, dependent

2021-12-03

Symptoms: Broken hip accompanied by new use of oxygen. I don't think anything related to covid shots.

Healthcare visit (other): Surgery

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	Surgery	·	·	✓
SD	Hip fracture	·	·	✓

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