35M-30479-01908 · OpenVSafe

Timeline

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

2021-03-27
Dose 1 — Moderna
2021-04-24
Registered in v-safe
2021-04-24
Dose 2 — Moderna
2021-05-01
Survey response — day 7, dose 2
MedDRA: Injection site reaction — Feeling: Good · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Note: these symptoms are being reported for Sunday April 25, 2021 as I was unable to log in that day. My symptoms lasted 24 hours, except the injection site symptoms lasted exactly 7 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 14, dose 2
MedDRA: Dissociation, Feeling abnormal, Pre-existing disease — Feeling: Poor

Free text: Probably NOT related to vaccine. Switched from one anti-depressant back to another I used to be on for almost 30 years. I think it's time to get off of them completely. Feel dead.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 21, dose 2
MedDRA: Loss of personal independence in daily activities, Nausea, Pre-existing disease, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: Nausea akin to morning sickness in that OTC remedies do not help, it lasts all day, prevents me from doing much. I'm over 10 years past menopause and no relationship so NOT pregnant. Changes in anti-depressant meds are prob cause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-24	Moderna

Free text

Release 8 — day 7, dose 2

2021-05-01

Systemic reaction (other): Note: these symptoms are being reported for Sunday April 25, 2021 as I was unable to log in that day. My symptoms lasted 24 hours, except the injection site symptoms lasted exactly 7 days.

Release 8 — day 14, dose 2

2021-05-08

Symptoms: Probably NOT related to vaccine. Switched from one anti-depressant back to another I used to be on for almost 30 years. I think it's time to get off of them completely. Feel dead.

Release 8 — day 21, dose 2

2021-05-17

Symptoms: Nausea akin to morning sickness in that OTC remedies do not help, it lasts all day, prevents me from doing much. I'm over 10 years past menopause and no relationship so NOT pregnant. Changes in anti-depressant meds are prob cause.

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	Dissociation	✓	✓	○
SD	Feeling abnormal	·	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓

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