WFU-33168-79890 · OpenVSafe

Timeline

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

2021-01-21
Dose 1 — Pfizer-BioNTech
2021-02-11
Dose 2 — Pfizer-BioNTech
2021-10-07
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-09
Registered in v-safe
2021-10-09
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2021-10-14
Health check-in — day 7, dose 3, dependent
Feeling: Good · None

Adult check-in
2021-10-21
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 21, dose 3, dependent
Feeling: Fair

Adult check-in
2021-11-04
Survey response — day 28, dose 3, dependent
MedDRA: Colonic fistula, Pain, Pre-existing disease, Rectal discharge — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had a Sigmoidoscopy, endoscopy and due to pain & rectal discharge post 2014 ruptured colon with iliostomy stoma. Lower colon probable fistula allowing passage of fecal matter to lower colon. All non-Covid related

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Report sent to call center — day 28, dose 3, dependent
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-05
Call 1 — Could Not Reach Participant
2021-11-10
Call 2 — Could Not Reach Participant
2021-11-11
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2022-01-06
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-04-07
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-10-09
Health check-in — 12 months, dose 3, dependent
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech	No
2	2021-02-11	Pfizer-BioNTech	No
3	2021-10-07	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-11-04	Unsuccessful

Free text

Release 10 — day 28, dose 3, dependent

2021-11-04

Symptoms: Had a Sigmoidoscopy, endoscopy and due to pain & rectal discharge post 2014 ruptured colon with iliostomy stoma. Lower colon probable fistula allowing passage of fecal matter to lower colon. All non-Covid related

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	Colonic fistula	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rectal discharge	·	·	✓

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