R4U-55304-80525 · OpenVSafe

Timeline

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

2021-09-03
Dose 1 — Pfizer-BioNTech
2021-09-12
Registered in v-safe
2021-09-12
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-09-17
Survey response — day 14, dose 1
MedDRA: Blepharospasm, Palpitations — Feeling: Fair

Free text: Had a racing heartbeat/pounding pulse for about 1 weeks post vaccination. Now have twitching in my left eye.

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Dose 2 — Pfizer-BioNTech
2021-09-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-28
Survey response — days 1–6 daily, dose 2
MedDRA: Hospitalisation, Premature rupture of membranes — Feeling: Poor · Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: My water broke at 26 weeks 4 days pregnant and Im currently in the hospital

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Report sent to call center — days 1–6 daily, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2021-09-29
Call 1 — Left Voicemail
2021-09-30
Survey response — days 1–6 daily, dose 2
MedDRA: Hospitalisation, Preterm premature rupture of membranes — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Hospitalized due to premature rupture of water at 26 weeks 4 days pregnant

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — days 1–6 daily, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2021-10-01
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-03	Pfizer-BioNTech	No
2	2021-09-25	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — day 14, dose 1

2021-09-17

Symptoms: Had a racing heartbeat/pounding pulse for about 1 weeks post vaccination. Now have twitching in my left eye.

Release 9 — days 1–6 daily, dose 2

2021-09-28

Systemic reaction (other): My water broke at 26 weeks 4 days pregnant and Im currently in the hospital

2021-09-30

Systemic reaction (other): Hospitalized due to premature rupture of water at 26 weeks 4 days pregnant

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	Blepharospasm	·	·	✓
SD	Palpitations	·	·	✓
SRO	Hospitalisation	·	·	✓
SRO	Premature rupture of membranes	·	·	✓
SRO	Preterm premature rupture of membranes	·	·	✓

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