YXX-17990-91573 · OpenVSafe

Timeline

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

2021-07-28
Registered in v-safe
2021-07-28
Dose 1 — Pfizer-BioNTech
2021-07-28
Survey response — day 0, dose 1
MedDRA: Joint stiffness — Feeling: Fair

Free text: Hand joint stiffness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Survey response — days 1–6 daily, dose 1
MedDRA: Frequent bowel movements, Nausea — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Free text: It isnt all day just waves of nausea and frequent BM not diarrhea

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Abdominal pain

Adult check-in
2021-08-11
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headaches, tiredness since first vaccine shot

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Survey response — day 21, dose 1
MedDRA: Fatigue, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exhaustion and increased arm tingling

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Dose 2 — Pfizer-BioNTech
2021-08-25
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Lacrimation increased, Medical counselling, Rash, Swollen tongue, Tongue blistering — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Rash across breasts, tongue swelling and blistered, eyes watering and severe back pain these symptoms occurred from 8/19-8/21 · Healthcare visit (other): Called primary physician and was given instructions as to treatment

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — days 1–6 daily, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-27
Survey response — day 7, dose 2
MedDRA: Drug hypersensitivity, Dyspnoea — Feeling: Poor · Site: Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Some SOB continued from the allergic reaction from first day of shot however getting better each day. Continuing with 25 mg po Benadryl as directed by physician

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Call 1 — Could Not Reach Participant
2021-09-04
Survey response — day 14, dose 2
MedDRA: Adverse reaction, Headache — Feeling: Fair

Free text: I have had a headache every day since the second vaccine. All other symptoms resolved!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-08
Call 2 — Could Not Reach Participant
2021-09-09
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continued headaches every single day since the second vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Call 3 — Could Not Reach Participant
2021-10-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-28	Pfizer-BioNTech	No
2	2021-08-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-25	Unsuccessful

Free text

Release 9 — day 0, dose 1

2021-07-28

Systemic reaction (other): Hand joint stiffness

Release 9 — days 1–6 daily, dose 1

2021-07-30

Systemic reaction (other): It isnt all day just waves of nausea and frequent BM not diarrhea

Release 9 — day 14, dose 1

2021-08-11

Symptoms: Headaches, tiredness since first vaccine shot

Release 9 — day 21, dose 1

2021-08-18

Symptoms: Exhaustion and increased arm tingling

Release 9 — days 1–6 daily, dose 2

2021-08-25

Systemic reaction (other): Rash across breasts, tongue swelling and blistered, eyes watering and severe back pain these symptoms occurred from 8/19-8/21

Healthcare visit (other): Called primary physician and was given instructions as to treatment

Release 9 — day 7, dose 2

2021-08-27

Systemic reaction (other): Some SOB continued from the allergic reaction from first day of shot however getting better each day. Continuing with 25 mg po Benadryl as directed by physician

Release 9 — day 14, dose 2

2021-09-04

Symptoms: I have had a headache every day since the second vaccine. All other symptoms resolved!

Release 9 — day 21, dose 2

2021-09-09

Symptoms: Continued headaches every single day since the second vaccine.

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	Medical counselling	✓	·	✓
SD	Adverse reaction	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Paraesthesia	✓	·	✓
SRO	Back pain	✓	·	✓
SRO	Drug hypersensitivity	✓	·	✓
SRO	Dyspnoea	✓	·	✓
SRO	Frequent bowel movements	✓	·	✓
SRO	Joint stiffness	✓	·	✓
SRO	Lacrimation increased	✓	·	✓
SRO	Nausea	✓	·	✓
SRO	Rash	✓	·	✓
SRO	Swollen tongue	✓	·	✓
SRO	Tongue blistering	✓	·	✓

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