YP9-58958-59392 · OpenVSafe

Timeline

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

2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-07-12
Registered in v-safe
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
Co-administered: Shingles
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fever · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Itching

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Survey response — day 21, dose 3
MedDRA: Arthralgia, Back pain, Chest pain, Emergency care, Myalgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Was given 3rd dose pfizer vaccine on one arm and shinglets 2nd dose on other hand same visit, abdomnal , left chest and back shoulder muscle pain · Healthcare visit (other): 24 hr heart hospital emergency and primary care dictor office

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-26
Call 1 — Could Not Reach Participant
2021-10-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-29
Call 2 — Could Not Reach Participant
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: All upper body flesh pain (say between skin & bones) mostly now around stomach & backside. My pcp prescribed GLIPIZIDE 5mgx3times/day for 30 days ending 2morow !Only slight relief, cause, taken 3rd doze covid pfizer & shingles vaccine 2nd same time · Healthcare visit (other): Primary care physician

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-04
Call 1 — Could Not Reach Participant
2022-01-07
Call 2 — Could Not Reach Participant
2022-04-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech	No
2	2021-03-26	Pfizer-BioNTech	No
3	2021-10-01	Pfizer-BioNTech	Shingles

Call center

Reported	Outcome	VAERS-related outcome
2021-10-22	Unsuccessful
2021-12-31	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): None

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): None

2021-10-05

Systemic reaction (other): None

Release 10 — day 21, dose 3

2021-10-22

Symptoms: Was given 3rd dose pfizer vaccine on one arm and shinglets 2nd dose on other hand same visit, abdomnal , left chest and back shoulder muscle pain

Healthcare visit (other): 24 hr heart hospital emergency and primary care dictor office

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: All upper body flesh pain (say between skin & bones) mostly now around stomach & backside. My pcp prescribed GLIPIZIDE 5mgx3times/day for 30 days ending 2morow !Only slight relief, cause, taken 3rd doze covid pfizer & shingles vaccine 2nd same time cut off by CDC

Healthcare visit (other): Primary care physician

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	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Chest pain	·	·	✓
SD	Myalgia	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SRO	No adverse event	·	·	✓

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