39M-25865-21319 · OpenVSafe

Timeline

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

2021-04-02
Dose 1 — Janssen/Johnson & Johnson
2021-04-04
Registered in v-safe
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Not as hungry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Diarrhoea — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Abdominal pain

Free text: Not as hungry. And diarrhea started , moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Free text: Oddly had a blood sugar spike to 196 after having a muffin for breakfast . Never an issue before. Normalized to 126 in 40min. No Im diabetic. Very uncomfortable.during that period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Free text: Again had elevated blood sugar event. Will be reaching out to doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Headache, Muscle or body aches

Free text: No appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-23
Survey response — day 21, single dose
MedDRA: Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Mold headaches , have seen doctor on April 19th and awaiting blood test results .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 21, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-05-16
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-05-19
Call 1 — Requested Callback
2021-05-20
Call 2 — Left Voicemail
2021-05-20
Callback requested for
01:00P EST
2021-07-04
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-22
Dose 2 — Moderna
2021-10-30
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-11-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-22
Survey response — 6 months, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Sore right shoulder from Moderna booster shot site. Was months after shot but never had issues. Soreness lasted two weeks and has subsided .

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Janssen/Johnson & Johnson
2	2021-10-22	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Not as hungry

2021-04-05

Systemic reaction (other): Not as hungry. And diarrhea started , moderate

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Oddly had a blood sugar spike to 196 after having a muffin for breakfast . Never an issue before. Normalized to 126 in 40min. No Im diabetic. Very uncomfortable.during that period.

2021-04-07

Systemic reaction (other): Again had elevated blood sugar event. Will be reaching out to doctor

2021-04-08

Systemic reaction (other): No appetite

Release 7 — day 21, single dose

2021-04-23

Symptoms: Mold headaches , have seen doctor on April 19th and awaiting blood test results .

Release 11 — 6 months, dose 2

2022-04-22

Symptoms: Sore right shoulder from Moderna booster shot site. Was months after shot but never had issues. Soreness lasted two weeks and has subsided .

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	Arthralgia	·	·	✓
SD	Headache	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Hypertension	✓	✓	✓

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