V4B-11022-91894 · OpenVSafe

Timeline

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

2021-04-20
Dose 1 — Pfizer-BioNTech
2021-05-11
Registered in v-safe
2021-05-11
Dose 2 — Pfizer-BioNTech
2021-05-11
Health check-in — 0 day, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-10
Survey response — 3 month, dose 2
MedDRA: Acute cardiac event, Hospitalisation, Multiple sclerosis, Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-08-10
Report sent to call center — 3 month, 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

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2021-11-12
Survey response — 6 month, dose 2
MedDRA: Heart rate decreased, Hospitalisation, Peripheral swelling, Syncope, Ventricular tachycardia — 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 · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11 · check-in answers available
2021-11-12
Report sent to call center — 6 month, 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-11-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Pfizer-BioNTech
2	2021-05-11	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-08-10	Unsuccessful
2021-11-12	Unsuccessful

Free text

Release 9

Symptoms: MS exacerbation and cardiac episode. Hospital stay for 5 days.

Release 10

Symptoms: Swollen left leg and arm. Not bilateral. Hospitalized at the end of July for fainting with low heart rate. Episode of no heartbeat for 16 seconds in the hospital.

Free-text releases are not linked to a specific 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	Acute cardiac event	✓	·	✓
SD	Heart rate decreased	·	·	✓
SD	Hospitalisation	✓	·	✓
SD	Multiple sclerosis	✓	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Syncope	·	·	✓
SD	Ventricular tachycardia	·	·	✓

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