Y7S-23219-91357 · OpenVSafe

Timeline

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

2021-03-05
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Poor

Free text: Feeling poor today is completely unrelated to Covid-19 and vaccine, but rather due to depression, long-term MDD, and other mental health issues. I receive regular outpatient psychiatric care. I have good days and bad days. I probably should should not include my mental health status here.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 14, dose 1
MedDRA: Arthralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increasing painful soreness in right shoulder, especially extending my arm forward, sideways, upward, and to the rear, With or without lifting objects, but not down. Vaccine was administered in my left shoulder, So this appears unrelated to the vacci

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-06-11
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-09
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Pfizer-BioNTech
2022-01-03
Call 1 — Left Voicemail
2022-01-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-11
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in
2022-06-02
Dose 4 — Pfizer-BioNTech
2022-06-02
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-06-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-04
Survey response — 12 months, dose 4
MedDRA: Influenza like illness, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion — Feeling: Fair · 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: 2024-11
2023-06-04
Call case (no matching report) — Successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-05
Call 1 — Requested Callback
2023-06-06
Callback requested for
2023-06-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech	No
3	2021-12-07	Pfizer-BioNTech	No
4	2022-06-02	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-25	Successful 2022-01-04	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-06-04	Successful 2023-06-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Feeling poor today is completely unrelated to Covid-19 and vaccine, but rather due to depression, long-term MDD, and other mental health issues. I receive regular outpatient psychiatric care. I have good days and bad days. I probably should should not include my mental health status here.

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Increasing painful soreness in right shoulder, especially extending my arm forward, sideways, upward, and to the rear, With or without lifting objects, but not down. Vaccine was administered in my left shoulder, So this appears unrelated to the vacci cut off by CDC

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	Arthralgia	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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