295-30990-59493 · OpenVSafe

Timeline

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

2021-04-05
Dose 1 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I was hospitalized on 3/7 for a perforated appendix. Discharged after a nine-day stay with drain. Stopped antibiotics one week before first shit on 4/5, appendectomy expected in early May. Second shot scheduled 5/3. I am otherwise a very healthy person, no chronic issues, no medications. Now taking Tylenol and ibuprofen every chance I get, although not 24 hours before shot #1 or 7 hours after. Aches and pain from appendicitis is a regular management issue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Appendicitis, Condition aggravated, Pre-existing disease — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Please review earlier statement about appendicitis, I suspect the Moderna inflammatory reaction is colliding with the appendix inflammation. My next CT scan for appendicitis is on 4/27 to evaluate for an appendectomy. I was doing much better before the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 7, dose 1
MedDRA: Hospitalisation — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: I am being admitted to the hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 21, dose 1
MedDRA: Hospitalisation, Infection — Feeling: Good · Be unable to work

Free text: I was hospitalized for reoccurring infection stemming from appendicitis. Infection may have been present when I got the first shot, but it became pronounced one hour after the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-05-11
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-07-07
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2022-04-05
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): I was hospitalized on 3/7 for a perforated appendix. Discharged after a nine-day stay with drain. Stopped antibiotics one week before first shit on 4/5, appendectomy expected in early May. Second shot scheduled 5/3. I am otherwise a very healthy person, no chronic issues, no medications. Now taking Tylenol and ibuprofen every chance I get, although not 24 hours before shot #1 or 7 hours after. Aches and pain from appendicitis is a regular management issue

2021-04-11

Systemic reaction (other): Please review earlier statement about appendicitis, I suspect the Moderna inflammatory reaction is colliding with the appendix inflammation. My next CT scan for appendicitis is on 4/27 to evaluate for an appendectomy. I was doing much better before the vaccine

Release 7 — day 7, dose 1

2021-04-12

Systemic reaction (other): I am being admitted to the hospital

Release 8 — day 21, dose 1

2021-04-26

Symptoms: I was hospitalized for reoccurring infection stemming from appendicitis. Infection may have been present when I got the first shot, but it became pronounced one hour after the first shot.

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	Infection	✓	✓	✓
SRO	Appendicitis	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Hospitalisation	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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