3CM-14934-69429 · OpenVSafe

Timeline

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

2021-01-21
Dose 1 — Moderna
2021-01-25
Registered in v-safe
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Emergency care — Feeling: Good · Site: Swelling · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Pain in chest. Went to ER. Test all good pain gone now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Survey response — day 21, dose 1
MedDRA: Blood urine present, Pain, Pre-existing disease — Feeling: Good

Free text: Blood in urine with pain. Seeing urologist. Have had kidney stones before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Moderna
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Other health problems but not from shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Thrombosis — Feeling: Good

Free text: A blood clot above a stint in groin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 35, dose 2
MedDRA: Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Chest pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-12
Call 1 — Could Not Reach Participant
2021-04-15
Call 2 — Left Voicemail
2021-05-24
Survey response — 3 months, dose 2
MedDRA: Renal stone removal, Surgery — Feeling: Poor · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Removal of a kidney stone that was there a year ago. Pain from two stints and catheter · Healthcare visit (other): Out patient surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-22
Survey response — 12 months, dose 2
MedDRA: Gingivitis, Pre-existing disease, Tooth disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Sciatica which he had before. Infection in gums from bad teeth. Not related to covid vaccine I am sure.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-22	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Pain in chest. Went to ER. Test all good pain gone now

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Blood in urine with pain. Seeing urologist. Have had kidney stones before.

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Other health problems but not from shot.

2021-02-28

Systemic reaction (other): A blood clot above a stint in groin

Release 6 — day 35, dose 2

2021-03-29

Symptoms: Chest pains.

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: Removal of a kidney stone that was there a year ago. Pain from two stints and catheter

Healthcare visit (other): Out patient surgery

Release 11 — 12 months, dose 2

2022-02-22

Symptoms: Sciatica which he had before. Infection in gums from bad teeth. Not related to covid vaccine I am sure.

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	Surgery	✓	✓	✓
SD	Blood urine present	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Gingivitis	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal stone removal	✓	✓	✓
SD	Tooth disorder	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Thrombosis	✓	✓	✓

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