UQS-20188-27948 · OpenVSafe

Timeline

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

2021-11-08
Registered in v-safe
2021-11-08
Dose 1 — Pfizer-BioNTech
2021-11-08
Health check-in — day 0, dose 1, dependent
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Poor · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Chills, Headache, Diarrhea

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2021-11-29
Dose 2 — Pfizer-BioNTech
2021-11-29
Health check-in — day 0, dose 2, dependent
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-02
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Back pain — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: Back Pain- mild.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Diarrhea, Abdominal pain

Adult check-in
2021-12-04
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: (b)(6) is experiencing cold symptoms today. He has tested negative for covid 19.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion, SARS-CoV-2 test negative — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat with sinus drainage. We tested for covid again today was negative, thinking we may just have a little bug.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-13
Survey response — day 14, dose 2, dependent
MedDRA: Abdominal pain upper, Diarrhoea, Headache — Feeling: Good

Free text: Diarrhea, headaches and stomach pain have been a on going issues since becoming vaccinated. We are setting up an appointment with his pediatrician to rule out if it's from the vaccine or if it's other things going on that may be causing these.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Survey response — day 21, dose 2, dependent
MedDRA: White blood cell count decreased — Feeling: Good

Free text: His white blood cell count has been low. They are rechecking his labs again on 23rd. For follow up on levels.

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-02-28
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-05-30
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-08	Pfizer-BioNTech	No
2	2021-11-29	Pfizer-BioNTech	No

Free text

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-02

Systemic reaction (other): Back Pain- mild.

2021-12-04

Systemic reaction (other): (b)(6) is experiencing cold symptoms today. He has tested negative for covid 19.

redacted (b)(6)

2021-12-05

Systemic reaction (other): Sore throat with sinus drainage. We tested for covid again today was negative, thinking we may just have a little bug.

Release 10 — day 14, dose 2, dependent

2021-12-13

Symptoms: Diarrhea, headaches and stomach pain have been a on going issues since becoming vaccinated. We are setting up an appointment with his pediatrician to rule out if it's from the vaccine or if it's other things going on that may be causing these.

Release 10 — day 21, dose 2, dependent

2021-12-20

Symptoms: His white blood cell count has been low. They are rechecking his labs again on 23rd. For follow up on levels.

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	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	White blood cell count decreased	·	·	✓
SRO	Back pain	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓

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