3CZ-17807-38074 · OpenVSafe

Timeline

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

2021-03-27
Dose 1 — Moderna
2021-04-20
Registered in v-safe
2021-04-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-24
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-25
Dose 2 — Moderna
2021-05-03
Survey response — day 7, dose 2
MedDRA: Nasal congestion, Productive cough, Sputum discoloured — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nasal congestion with cough that produced a mild to moderate amount of sputum (clear to light yellow in color)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 14, dose 2
MedDRA: Abdominal distension, Abdominal pain upper, Fatigue, Productive cough, Sinus congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: -Upper abdominal pain for the last week (Severe starting late 5/6 through 5/8) including abdominal bloating. Very tired most days.-Sinus congestion with mildly productive cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-05-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Dyspepsia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Moderate to severe stomach pain two separate times that lasted for two to three days. The first time it was preceded by severe heartburn (possibly acid reflux?).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Fatigue, Lethargy, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomach pain that I mentioned prior has subsided. However, I am extremely exhausted, to the point of lethargy and needing more sleep than I uesd to.Also, I have chronic pain that I see a doctor for. My pain has increased since the second dose.

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-25	Moderna

Free text

Release 8 — day 7, dose 2

2021-05-03

Systemic reaction (other): Nasal congestion with cough that produced a mild to moderate amount of sputum (clear to light yellow in color)

Release 8 — day 14, dose 2

2021-05-10

Symptoms: -Upper abdominal pain for the last week (Severe starting late 5/6 through 5/8) including abdominal bloating. Very tired most days.-Sinus congestion with mildly productive cough.

Release 8 — day 35, dose 2

2021-06-01

Symptoms: Moderate to severe stomach pain two separate times that lasted for two to three days. The first time it was preceded by severe heartburn (possibly acid reflux?).

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Stomach pain that I mentioned prior has subsided. However, I am extremely exhausted, to the point of lethargy and needing more sleep than I uesd to.Also, I have chronic pain that I see a doctor for. My pain has increased since the second dose.

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	Abdominal distension	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Lethargy	✓	·	✓
SD	Pain	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Productive cough	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Sputum discoloured	✓	✓	✓

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