3GB-11945-06611 · OpenVSafe

Timeline

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

2021-04-16
Dose 1 — Moderna
2021-05-14
Dose 2 — Moderna
2021-05-15
Registered in v-safe
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Nausea, Diarrhea

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — day 28, dose 2
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-22
Call 1 — Left Voicemail
2021-06-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-07
Dose 3 — Moderna
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-01-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-21
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2022-02-18
Survey response — day 42, dose 3
MedDRA: Foetal growth restriction, Placental insufficiency — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fetal growth restriction due to placenta insufficiency

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-21
Call 1 — Left Voicemail
2022-04-08
Survey response — 3 months, dose 3
MedDRA: Foetal growth restriction, Stillbirth — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe IUGR detected at 19 weeks pregnant resulting in stillbirth 4 weeks later.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-08
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-01-07
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Moderna
2	2021-05-14	Moderna
3	2022-01-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-11	Unsuccessful
2022-02-18	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-08	Successful 2022-04-13	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 9 — day 28, dose 2

2021-06-11

Symptoms: Sinus infection

Release 11 — day 42, dose 3

2022-02-18

Symptoms: Fetal growth restriction due to placenta insufficiency

Release 11 — 3 months, dose 3

2022-04-08

Symptoms: Severe IUGR detected at 19 weeks pregnant resulting in stillbirth 4 weeks later.

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	Foetal growth restriction	·	·	✓
SD	Placental insufficiency	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Stillbirth	·	·	✓

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