3JY-71669-35201 · OpenVSafe

Timeline

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

2021-04-16
Dose 1 — Moderna
2021-05-15
Dose 2 — Moderna
2021-05-17
Registered in v-safe
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Intermenstrual bleeding — Feeling: Good

Free text: Menstrual spotting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Benign hydatidiform mole — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Partial molar pregnancy/miscarriage

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2022-05-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Moderna
2	2021-05-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-11-13	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Menstrual spotting

Release 10 — 6 months, dose 2

2021-11-13

Symptoms: Partial molar pregnancy/miscarriage

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	Abortion spontaneous	·	·	✓
SD	Benign hydatidiform mole	·	·	✓
SRO	Intermenstrual bleeding	✓	✓	✓

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