XV6-79619-34721 · OpenVSafe

Timeline

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Survey response — 0 day, dose 1
MedDRA: Urticaria — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Self-medication, Urticaria — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 3 month, dose 2
MedDRA: Erythema, Office visit, Urticaria — Feeling: Good

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-14
Survey response — 14 day, dose 3
MedDRA: Hospitalisation, Nephrolithiasis, Ureterolithiasis — Feeling: Good · 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
2021-10-14
Survey response — 6 month, dose 2
MedDRA: Hospitalisation, Infection, Nephrolithiasis, Renal disorder — Feeling: Good · 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
2021-10-14
Report sent to call center — 14 day, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-14
Report sent to call center — 6 month, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-19
Call 2 — Left Voicemail
2021-10-19
Call 2 — Left Voicemail
2021-10-20
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — 42 day, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Health check-in — 3 month, dose 3
Feeling: Fair

Adult check-in
2022-03-30
Health check-in — 6 month, dose 3
Feeling: Good

Adult check-in
2022-09-29
Survey response — 12 month, dose 3
MedDRA: Psoriatic arthropathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-09-29
Report sent to call center — 12 month, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-30
Call 1 — Could Not Reach Participant
2022-09-30
Call 1 — Could Not Reach Participant
2022-09-30
Call 1 — Could Not Reach Participant
2022-10-05
Call successful
Not applicable - Accidental Reporting
2022-10-05
Call successful
Not applicable - Accidental Reporting
2022-10-05
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-14	Successful 2022-10-05	Not applicable - Accidental Reporting
2021-10-14	Successful 2022-10-05	Not applicable - Accidental Reporting
2022-09-29	Successful 2022-10-05	Not applicable - Accidental Reporting

Free text

Release 6

Systemic reaction (other): Hives on my palms & arms took Benedryl

Systemic reaction (other): I got hives on my hands and forehead yesterday but took benadryl and it subsided

Release 9

Symptoms: Have had hives on my hands...and they get red. Dr doing blood work to see if I have Reynauds Disease. Saw her 7/14.

Release 10

Symptoms: I had Kidney Stones one blocked my Left Kidney & gave me a complicated Infection. I was in Hospital twice in September. I Had two procedures done. Was on antibiotic for 3 weeks.

Symptoms: Kidney Stones that blocked my left Kidney and caused infection . Was in hospital twice in September. Had 3 procedures done

Release 12

Symptoms: Now dx with Psoratic Arthritis Poss Skin Cancer on left side under left breast Going for Biopsy

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	Erythema	✓	·	✓
SD	Hospitalisation	·	·	✓
SD	Infection	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Office visit	✓	·	✓
SD	Psoriatic arthropathy	·	·	✓
SD	Renal disorder	·	·	✓
SD	Ureterolithiasis	·	·	✓
SD	Urticaria	✓	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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