3GS-23223-36223 · OpenVSafe

Timeline

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

2021-03-05
Dose 1 — Moderna
2021-04-05
Dose 2 — Moderna
2021-12-26
Dose 3 — Moderna
Co-administered: Flu
2021-12-27
Registered in v-safe
2021-12-27
Survey response — days 1–6 daily, dose 3
MedDRA: Burning sensation, Heart rate increased, Pulmonary pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Higher than norm heart rate, lungs hurt constantly and burned when I put away the groceries

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Higher than norm heart rate, usually in 60s and hitting 80s and 90s

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Higher than norm elevated heart rate through out the day

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Nausea

Adult check-in
2022-01-02
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Abdominal pain

Adult check-in
2022-01-09
Survey response — day 14, dose 3
MedDRA: Body temperature increased, Chest discomfort, Eye irritation, Fatigue, Headache, Malaise, Ocular hyperaemia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school

Free text: Became I'll w chest heaviness no cough, congested, very fatigued w a constant headache, burning and red eyes w low grade temp from Tuesday through Friday

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Survey response — day 21, dose 3
MedDRA: Abdominal discomfort, Lymphadenopathy, Medical counselling, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach discomfort, sinus issues since w exception of one day and as w the second shot the booster has caused swelling in my lymph nodes around and in my left breast. Reported to my doctor last time and had a mammogram done after the recommendd time

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-27
Survey response — 3 months, dose 3
MedDRA: Cyst, Pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The pain from cysts has not gone away. It has stayed consistent since the first vaccine · Healthcare visit (other): 2nd mammogram and sonogram

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-29
Call successful
Participant prefers to complete VAERS report online
2022-06-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna	No
2	2021-04-05	Moderna	No
3	2021-12-26	Moderna	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-27

Systemic reaction (other): Higher than norm heart rate, lungs hurt constantly and burned when I put away the groceries

2021-12-28

Systemic reaction (other): Higher than norm heart rate, usually in 60s and hitting 80s and 90s

2021-12-29

Systemic reaction (other): Higher than norm elevated heart rate through out the day

Release 10 — day 14, dose 3

2022-01-09

Symptoms: Became I'll w chest heaviness no cough, congested, very fatigued w a constant headache, burning and red eyes w low grade temp from Tuesday through Friday

Release 10 — day 21, dose 3

2022-01-16

Symptoms: Stomach discomfort, sinus issues since w exception of one day and as w the second shot the booster has caused swelling in my lymph nodes around and in my left breast. Reported to my doctor last time and had a mammogram done after the recommendd time cut off by CDC

Release 11 — 3 months, dose 3

2022-03-27

Symptoms: The pain from cysts has not gone away. It has stayed consistent since the first vaccine

Healthcare visit (other): 2nd mammogram and sonogram

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	Unevaluable event	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Cyst	·	·	✓
SD	Eye irritation	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	·	·	✓
SD	Medical counselling	·	·	✓
SD	Ocular hyperaemia	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus disorder	·	·	✓
SRO	Burning sensation	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Pulmonary pain	·	·	✓

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