2FB-12369-63073 · OpenVSafe

Timeline

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

2021-01-23
Dose 1 — Moderna
2021-02-20
Dose 2 — Moderna
2021-12-02
Registered in v-safe
2021-12-02
Dose 3 — Moderna
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Balance disorder, Gait disturbance, Impaired work ability, Rhinorrhoea, Self-medication — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My equilibrium was off when I woke up, I had to call in sick because I couldn't walk very far without having to sit down. I have a runny nose and took some over the counter medicine about 4 hours ago (1:30PM EST.) So far, my nose is still running.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair

Free text: Runny nose for about 6 hours after I woke up.

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Survey response — day 14, dose 3
MedDRA: Rhinorrhoea — Feeling: Good

Free text: I got the sniffles today and on at least 3 occasions I had to stifle a sneeze. No fever, headache or other symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-15
Dose 4 — Moderna
2022-12-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-15
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna	No
2	2021-02-20	Moderna	No
3	2021-12-02	Moderna	No
4	2022-06-15	Moderna	No

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-03

Systemic reaction (other): My equilibrium was off when I woke up, I had to call in sick because I couldn't walk very far without having to sit down. I have a runny nose and took some over the counter medicine about 4 hours ago (1:30PM EST.) So far, my nose is still running.

2021-12-04

Systemic reaction (other): Runny nose for about 6 hours after I woke up.

Release 10 — day 14, dose 3

2021-12-16

Symptoms: I got the sniffles today and on at least 3 occasions I had to stifle a sneeze. No fever, headache or other symptoms.

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	Rhinorrhoea	·	·	✓
SRO	Balance disorder	·	·	✓
SRO	Gait disturbance	·	·	✓
SRO	Impaired work ability	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Self-medication	·	·	✓

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