Y2V-26843-63360 · OpenVSafe

Timeline

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

2021-02-13
Dose 1 — Pfizer-BioNTech
2021-02-14
Registered in v-safe
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Office visit, Pain in extremity, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Systemic reaction (other): Rash on face since my shot appeared 45 min after shot. That was 2-13- 21 . Face red on 2-14, 15,16,17,2021. I also on 2-14 my leg was hurting. 3am on 2-15 I had a varicose vein burst. I dont know if this was from my shot. · Healthcare visit (other): Dr for my shot and vein bleed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Emergency care, Photosensitivity reaction, Rash erythematous, Varicose vein, Vein rupture — Feeling: Fair · Site: Redness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Fave like I have a sun burn. Also had a vericos vein bleed. 2 days after having shot. · Healthcare visit (other): EMT to house at 3AM vericos vein bled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Survey response — day 7, dose 1
MedDRA: COVID-19, Emergency care, Haemorrhage, Pain in extremity, Pre-existing disease, Varicose vein — Feeling: Good · Site: Redness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I had a vericous vein bleed. Covid 19 shot received on 2-13-21.on 2-14-21 I had a left leg was hurting. 2-15-21 I started bleeding at my left leg it was a vien bled. Call the EMT at 3:00am.g 1 I had a left leg · Healthcare visit (other): EMT to my house @ 3Am this shot caused this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-02-17	Unsuccessful
2021-02-19	Unsuccessful
2021-02-20	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Rash on face since my shot appeared 45 min after shot. That was 2-13- 21 . Face red on 2-14, 15,16,17,2021. I also on 2-14 my leg was hurting. 3am on 2-15 I had a varicose vein burst. I dont know if this was from my shot.

Healthcare visit (other): Dr for my shot and vein bleed.

2021-02-19

Systemic reaction (other): Fave like I have a sun burn. Also had a vericos vein bleed. 2 days after having shot.

Healthcare visit (other): EMT to house at 3AM vericos vein bled

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): I had a vericous vein bleed. Covid 19 shot received on 2-13-21.on 2-14-21 I had a left leg was hurting. 2-15-21 I started bleeding at my left leg it was a vien bled. Call the EMT at 3:00am.g 1 I had a left leg

Healthcare visit (other): EMT to my house @ 3Am this shot caused this.

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
HCVO	Emergency care	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Vein rupture	✓	✓	✓
SRO	COVID-19	○	✓	○
SRO	Emergency care	✓	·	✓
SRO	Erythema	✓	✓	✓
SRO	Haemorrhage	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Photosensitivity reaction	○	✓	○
SRO	Pre-existing disease	✓	·	✓
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	·	✓
SRO	Varicose vein	○	✓	○
SRO	Vein rupture	✓	·	✓

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