Z6R-29341-26639 · OpenVSafe

Timeline

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

2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-20
Registered in v-safe
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain · Diarrhea

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 14, dose 1
MedDRA: Hospitalisation, Mitral valve incompetence — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Acute mitral valve relapse/regurgitation. Visited ER on 3/27, admitted and open heart surgery on 3/30 to replace mitral valve with pig tissue. No history of heart problems, but possibly hereditary link with father.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Survey response — day 21, dose 1
MedDRA: Hospitalisation, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I previously indicated that I had been diagnosed with mitral valve relapse. This required surgery due to its acute nature. The only thing that changed in my life leading up to my hospitalization is the Pfizer shot. This is worthy of further investiga

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-02	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): No

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Acute mitral valve relapse/regurgitation. Visited ER on 3/27, admitted and open heart surgery on 3/30 to replace mitral valve with pig tissue. No history of heart problems, but possibly hereditary link with father.

Release 7 — day 21, dose 1

2021-04-11

Symptoms: I previously indicated that I had been diagnosed with mitral valve relapse. This required surgery due to its acute nature. The only thing that changed in my life leading up to my hospitalization is the Pfizer shot. This is worthy of further investiga 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	Hospitalisation	✓	✓	✓
SD	Mitral valve incompetence	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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