YKA-89000-01433 · OpenVSafe

Timeline

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

2021-01-30
Dose 1 — Pfizer-BioNTech
2021-02-20
Dose 2 — Pfizer-BioNTech
2021-02-27
Registered in v-safe
2021-02-27
Survey response — day 7, dose 2
MedDRA: Herpes simplex, Herpes zoster, Hyperchlorhydria, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I got a flare of the shingles 24 hours after receiving the second dose. Plus i received the sencond dose at about 12 noon on the 20th and 12 hours later i had an exorbitant amount of stomach acid which continued until about 12 am on the 22nd. Then stopped. The shingles lasted about 8 hours on the left flank of my back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 42, dose 2
MedDRA: Neutropenia, Neutrophil count decreased, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have neutropenia. Recently i had a CBC and my neutrophils are at an all time low. Does the vaccine effect it? Dont know but it certainly is a change. · Healthcare visit (other): Regular visit coming up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-22
Call successful
Does not wish to fill out VAERS report
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech
2	2021-02-20	Pfizer-BioNTech
3	2021-08-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-03	Successful 2021-06-22	Does not wish to fill out VAERS report

Free text

Release 4 — day 7, dose 2

2021-02-27

Systemic reaction (other): I got a flare of the shingles 24 hours after receiving the second dose. Plus i received the sencond dose at about 12 noon on the 20th and 12 hours later i had an exorbitant amount of stomach acid which continued until about 12 am on the 22nd. Then stopped. The shingles lasted about 8 hours on the left flank of my back.

Release 6 — day 42, dose 2

2021-04-03

Symptoms: I have neutropenia. Recently i had a CBC and my neutrophils are at an all time low. Does the vaccine effect it? Dont know but it certainly is a change.

Healthcare visit (other): Regular visit coming up

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	Unevaluable event	✓	✓	✓
SD	Neutropenia	✓	✓	✓
SD	Neutrophil count decreased	✓	✓	✓
SRO	Herpes simplex	·	·	✓
SRO	Herpes zoster	✓	✓	○
SRO	Hyperchlorhydria	·	·	✓
SRO	Pre-existing disease	·	·	✓

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