34G-25539-59926 · OpenVSafe

Timeline

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

2021-03-17
Dose 1 — Moderna
2021-04-14
Dose 2 — Moderna
2021-12-01
Dose 3 — Moderna
2021-12-04
Registered in v-safe
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Erythema, Pruritus, Rash, Skin warm, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Rash,swelling,red circle 3-4 inches in diameter which is warm to the touch began 48 hrs After getting booster. and itching

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Warm to touch at big red circle at site of injection

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-12-08
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness · Headache

Adult check-in
2021-12-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-05
Survey response — day 35, dose 3
MedDRA: Cough, Oropharyngeal pain, Patient isolation, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: Severe Sore throat began Thursday morning Dec 29,2021,took at home rapid COVID test on Dec 30 it was positive. I am isolating at home away from family.today Sore throat is gone,still some congestion with occasional cough,never had a fever.

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-02
Survey response — 3 months, dose 3
MedDRA: Blood urine present, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood in urine since Feb 6, am getting tests from urologist · Healthcare visit (other): Went to pcp and referral to specialist for more tests

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-04
Call successful
Participant prefers to complete VAERS report online
2022-12-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna	No
2	2021-04-14	Moderna	No
3	2021-12-01	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Rash,swelling,red circle 3-4 inches in diameter which is warm to the touch began 48 hrs After getting booster. and itching

2021-12-05

Systemic reaction (other): Warm to touch at big red circle at site of injection

Release 10 — day 35, dose 3

2022-01-05

Symptoms: Severe Sore throat began Thursday morning Dec 29,2021,took at home rapid COVID test on Dec 30 it was positive. I am isolating at home away from family.today Sore throat is gone,still some congestion with occasional cough,never had a fever.

Release 11 — 3 months, dose 3

2022-03-02

Symptoms: Blood in urine since Feb 6, am getting tests from urologist

Healthcare visit (other): Went to pcp and referral to specialist for more tests

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	Office visit	·	·	✓
SD	Blood urine present	·	·	✓
SD	Cough	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Patient isolation	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Erythema	·	·	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site warmth	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Rash	·	·	✓
SRO	Skin warm	·	·	✓
SRO	Swelling	·	·	✓

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