368-30965-63468 · OpenVSafe

Timeline

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

2021-03-31
Dose 1 — Moderna
2021-04-28
Dose 2 — Moderna
2021-05-05
Registered in v-safe
2021-05-05
Survey response — day 7, dose 2
MedDRA: Hallucination — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Hallucinations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 14, dose 2
MedDRA: Hospitalisation, Pneumonia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I was hospitalized with pneumonia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — day 28, dose 2
MedDRA: Bronchitis, Hospitalisation, Liver disorder, Pneumonia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: I was hospitalized for 5 days with Pneumonia, and the sides, bronchitis, and liver problems · Healthcare visit (other): At the beginning of the month I was hospitalized because of multiple system problems. I had a check right before I had the second shot and I was and good health.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Survey response — day 35, dose 2
MedDRA: Renal pain, Tremor — Feeling: Fair

Free text: Trembling in my hands and kidney pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — day 42, dose 2
MedDRA: Muscle twitching — Feeling: Fair

Free text: Muscular twitching in the hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-27
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Pre-existing disease, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chronic cough and throwing up, fatigue, headaches

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Call 1 — Could Not Reach Participant
2022-02-22
Call 2 — Requested Callback
2022-02-23
Callback requested for
11:00AM ET
2022-02-23
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Hallucinations

Release 8 — day 14, dose 2

2021-05-12

Symptoms: I was hospitalized with pneumonia

Release 8 — day 28, dose 2

2021-05-30

Symptoms: I was hospitalized for 5 days with Pneumonia, and the sides, bronchitis, and liver problems

Healthcare visit (other): At the beginning of the month I was hospitalized because of multiple system problems. I had a check right before I had the second shot and I was and good health.

Release 8 — day 35, dose 2

2021-06-04

Symptoms: Trembling in my hands and kidney pain

Release 9 — day 42, dose 2

2021-06-09

Symptoms: Muscular twitching in the hands

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: Chronic cough and throwing up, fatigue, headaches

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	Hospitalisation	✓	✓	✓
SD	Bronchitis	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hospitalisation	✓	✓	✓
SD	Liver disorder	✓	✓	✓
SD	Muscle twitching	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Renal pain	✓	✓	✓
SD	Tremor	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Hallucination	✓	✓	✓

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