XXL-20692-18155 · OpenVSafe

Timeline

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

2021-05-05
Dose 1 — Pfizer-BioNTech
2021-05-11
Registered in v-safe
2021-05-11
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Lymphadenopathy, Paraesthesia — Feeling: Fair · Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-12
Survey response — 7 day, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-19
Health check-in — 14 day, dose 1
Feeling: Fair

Adult check-in
2021-05-27
Survey response — 21 day, dose 1
MedDRA: Deep vein thrombosis, Thrombosis, Varicose vein — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-27
Report sent to call center — 21 day, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Survey response — 42 day, dose 1
MedDRA: Headache — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-11-03
Health check-in — 6 month, dose 1
Feeling: Good

Adult check-in
2022-04-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-05	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-27	Unsuccessful

Free text

Release 8

Systemic reaction (other): Yes, three days after the vaccination my lymph nodes around my collar bone were swollen. I'm at six days now and they are still swollen on the side where I got my shot. Some tingling in my face on that side as well. I did have stomach pains for two days after the shot. I tried to log into this system earlier but was not able to.

Systemic reaction (other): Still have swollen lymph - left collar bone area

Symptoms: Blood clot in a Surface Varicose vein with possible infection

Healthcare visit (other): Also Ultrasound to rule out DVT

Release 9

Symptoms: Headaches

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
HCVO	Deep vein thrombosis	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SD	Varicose vein	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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