3EB-64841-60854 · OpenVSafe

Timeline

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

2021-02-22
Dose 1 — Moderna
2021-03-22
Dose 2 — Moderna
2021-04-15
Registered in v-safe
2021-04-15
Survey response — day 21, dose 2
MedDRA: Body temperature increased, Chills, Confusional state, Epistaxis, Eye pain, Hypoaesthesia, Migraine, Muscle tightness, Pain, Paraesthesia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: after second dose. 2days...103 fever. chills aches.confusion. 4 days whole left side muscle tension. peircing eye migraines. numbness and pins and needles down left arm. 12 days later, shooting pain in left eye, spurting bloody nose. day 14 all clear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 42, dose 2
MedDRA: Epistaxis, Eye pain, Fatigue, Headache, Heavy menstrual bleeding, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Im late in the check ins.Bloody nosePounding head acheTired104 feverFor 14 days after 2nd vaccine16th day. Searing pain in left eye and blood gush from nose6 weeks later i start a heavy period. ( i havent had one in over a year(

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Moderna
2	2021-03-22	Moderna

Free text

Release 7 — day 21, dose 2

2021-04-15

Symptoms: after second dose. 2days...103 fever. chills aches.confusion. 4 days whole left side muscle tension. peircing eye migraines. numbness and pins and needles down left arm. 12 days later, shooting pain in left eye, spurting bloody nose. day 14 all clear cut off by CDC

Release 8 — day 42, dose 2

2021-05-03

Symptoms: Im late in the check ins.Bloody nosePounding head acheTired104 feverFor 14 days after 2nd vaccine16th day. Searing pain in left eye and blood gush from nose6 weeks later i start a heavy period. ( i havent had one in over a year(

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	Body temperature increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pyrexia	✓	✓	✓

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