3HH-22104-97914 · OpenVSafe

Timeline

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

2021-07-17
Dose 1 — Moderna
2021-07-23
Registered in v-safe
2021-07-23
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Disturbance in attention, Head discomfort, Heart rate increased, Palpitations, Paranasal sinus discomfort, Vision blurred — Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Occasional pounding heartbeat/pulse; head pressure; sinus pressure; "cloudy"/hard to concentrate; right eye doesn't feel as focused as left eye

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-07-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-07
Survey response — day 21, dose 1
MedDRA: Brain fog, Chest discomfort, Headache, Muscle twitching — Feeling: Fair

Free text: Mild headache - often on right side of head behind eye. Left side of head generally okay but slightly foggy feeling. Has occurred several times on and off during week. Some very mild muscle twitching/tightness in chest also on and off.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Survey response — day 28, dose 1
MedDRA: Muscle tightness, Oropharyngeal pain — Feeling: Good

Free text: Sore throat; muscle tightness in chest

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-08-30
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-17	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-23

Systemic reaction (other): Occasional pounding heartbeat/pulse; head pressure; sinus pressure; "cloudy"/hard to concentrate; right eye doesn't feel as focused as left eye

Release 9 — day 21, dose 1

2021-08-07

Symptoms: Mild headache - often on right side of head behind eye. Left side of head generally okay but slightly foggy feeling. Has occurred several times on and off during week. Some very mild muscle twitching/tightness in chest also on and off.

Release 9 — day 28, dose 1

2021-08-14

Symptoms: Sore throat; muscle tightness in chest

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	Brain fog	✓	·	✓
SD	Chest discomfort	✓	·	✓
SD	Headache	✓	·	✓
SD	Muscle tightness	✓	·	✓
SD	Muscle twitching	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SRO	Brain fog	✓	·	✓
SRO	Disturbance in attention	✓	·	✓
SRO	Head discomfort	✓	·	✓
SRO	Heart rate increased	✓	·	✓
SRO	Palpitations	✓	·	✓
SRO	Paranasal sinus discomfort	✓	·	✓
SRO	Vision blurred	✓	·	✓

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