36M-92137-20236 · OpenVSafe

Timeline

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

2021-03-11
Dose 1 — Moderna
2021-04-09
Dose 2 — Moderna
2021-04-20
Registered in v-safe
2021-04-20
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 21, dose 2
MedDRA: Office visit, Rash, Self-medication — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Another full body rash. Took Benadryl for 12 hours and it went away after 4. My doctor has me on Benadryl daily to try to prevent it from happening again.This was 3rd episode of rash. · Healthcare visit (other): Dr office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 35, dose 2
MedDRA: Gastric dilatation — Feeling: Fair

Free text: Stomach distention when eating foods i have always eaten with no problems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Abdominal distension, Abdominal pain upper, Bronchitis, Fatigue, Headache, Peripheral swelling, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swollen legs and feet. Constant headaches, stomach pain and bloating, extreme fatigue. UTI and bronchitis.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-13
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Gastritis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Gastritis · Healthcare visit (other): Colonoscopy/Endoscopy

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-12
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-09	Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 8 — day 21, dose 2

2021-04-30

Symptoms: Another full body rash. Took Benadryl for 12 hours and it went away after 4. My doctor has me on Benadryl daily to try to prevent it from happening again.This was 3rd episode of rash.

Healthcare visit (other): Dr office visit

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Stomach distention when eating foods i have always eaten with no problems.

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Swollen legs and feet. Constant headaches, stomach pain and bloating, extreme fatigue. UTI and bronchitis.

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Gastritis

Healthcare visit (other): Colonoscopy/Endoscopy

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Bronchitis	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastric dilatation	✓	✓	✓
SD	Gastritis	·	·	✓
SD	Headache	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Rash	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Urinary tract infection	·	·	✓

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