2DW-29588-08037 · OpenVSafe

Timeline

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

2021-02-14
Dose 1 — Moderna
2021-03-14
Dose 2 — Moderna
2021-11-05
Registered in v-safe
2021-11-05
Dose 3 — Moderna
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain, Insomnia — Feeling: Good · Site: Pain, Swelling

Free text: last night I had trouble sleeping due to the injection site pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Concussion, Emergency care, Loss of consciousness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I passed out while going to the bathroom and got a concussion but I'm released now from the emergency room

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Concussion, Fall — Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches

Free text: After my fall in the bathroom and my concussion I have been taking it easy and so far today has been a fine day with no major issues

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-11-10
Survey response — days 1–6 daily, dose 3
MedDRA: Gastrointestinal disorder — Feeling: Good · Site: Pain, Itching · Diarrhea

Free text: no but my stomach was fine and has gotten worse daily

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Diarrhoea — Feeling: Good · Site: Itching · Diarrhea

Free text: my bowel movements have gotten looser since my vaccine I'm hoping it will wear off soon

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 7, dose 3
MedDRA: Diarrhoea — Feeling: Good · Headache, Diarrhea

Free text: Yesterday I only had a little bit to eat hoping to stop the loose bowels. I am also taking probiotics. Hopefully this will help

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-14	Moderna	No
2	2021-03-14	Moderna	No
3	2021-11-05	Moderna	No

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): last night I had trouble sleeping due to the injection site pain

2021-11-07

Systemic reaction (other): I passed out while going to the bathroom and got a concussion but I'm released now from the emergency room

2021-11-08

Systemic reaction (other): After my fall in the bathroom and my concussion I have been taking it easy and so far today has been a fine day with no major issues

2021-11-10

Systemic reaction (other): no but my stomach was fine and has gotten worse daily

2021-11-11

Systemic reaction (other): my bowel movements have gotten looser since my vaccine I'm hoping it will wear off soon

Release 10 — day 7, dose 3

2021-11-12

Systemic reaction (other): Yesterday I only had a little bit to eat hoping to stop the loose bowels. I am also taking probiotics. Hopefully this will help

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
SRO	Concussion	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Emergency care	·	·	✓
SRO	Fall	·	·	✓
SRO	Gastrointestinal disorder	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Loss of consciousness	·	·	✓

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