34R-28225-20605 · OpenVSafe

Timeline

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

2021-03-01
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Survey response — day 7, dose 1
MedDRA: Abdominal pain, Ageusia, Asthenia, Choking, Eructation, Fatigue, Haematochezia, Head discomfort, Heavy menstrual bleeding, Hypoaesthesia oral, Immediate post-injection reaction, Nausea, Noninfective myringitis, Office visit, Pyrexia, Throat tightness, Tympanic membrane disorder, Urinary tract infection, Vision blurred — Feeling: Fair · Site: Pain · Fever · Nausea, Vomiting · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Lip numbness loss of taste with few seconds of vaccine and nausea burping and throat chocking for first 24-48 hour , also heaviness in head, eardrum bulging with very blurred vision of right eye, all of these was better in couple days but day 3 with UTI sxs, then day 4 with two bowel movement with red blood and abdominal cramps and then very heavy menstruation which was lasted for couple of days. Extreme fatigue and weakness with on and off fever · Healthcare visit (other): (b)(6) center 3/5/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-24
Survey response — day 21, dose 1
MedDRA: Arthralgia, Joint range of motion decreased, Muscular weakness, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain and stiffness Unable to lift gallon of milk since pain with Rt shoulder movement Lt elbow pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 28, dose 1
MedDRA: Arthralgia, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain with shoulder wrist knee and muscle weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 42, dose 1
MedDRA: Arthralgia, Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain weakness and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-01
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): Lip numbness loss of taste with few seconds of vaccine and nausea burping and throat chocking for first 24-48 hour , also heaviness in head, eardrum bulging with very blurred vision of right eye, all of these was better in couple days but day 3 with UTI sxs, then day 4 with two bowel movement with red blood and abdominal cramps and then very heavy menstruation which was lasted for couple of days. Extreme fatigue and weakness with on and off fever

Healthcare visit (other): (b)(6) center 3/5/21

redacted (b)(6)

Release 6 — day 21, dose 1

2021-03-24

Symptoms: Joint pain and stiffness Unable to lift gallon of milk since pain with Rt shoulder movement Lt elbow pain

Release 6 — day 28, dose 1

2021-04-01

Symptoms: Joint pain with shoulder wrist knee and muscle weakness

Release 7 — day 42, dose 1

2021-04-12

Symptoms: Joint pain weakness and fatigue

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Joint range of motion decreased	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Choking	✓	·	✓
SRO	Ear disorder	○	○	○
SRO	Eructation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Haematochezia	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Immediate post-injection reaction	✓	·	✓
SRO	Nausea	✓	✓	✓
SRO	Noninfective myringitis	✓	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Throat tightness	○	✓	○
SRO	Tympanic membrane disorder	○	✓	○
SRO	Urinary tract infection	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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