3KG-21229-68110 · OpenVSafe

Timeline

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

2021-01-13
Dose 1 — Moderna
2021-02-10
Dose 2 — Moderna
2021-02-12
Registered in v-safe
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities

Free text: Significant symptoms for 40 hours following 2nd injection better this afternoon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Chest congestion, cough, sore throat, fatigue, headache - COVID test was negative but symptoms persist 3 weeks in

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2021-08-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Chest discomfort, Chills, Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: Random episodes of nighttime fever, chills, coughing that lasts just that night. Additionally, chest tightness & occasional shortness of breath that occurs randomly. No positive COVID test results for anyone in the household despite repeated tests.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Significant symptoms for 40 hours following 2nd injection better this afternoon

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Chest congestion, cough, sore throat, fatigue, headache - COVID test was negative but symptoms persist 3 weeks in

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Random episodes of nighttime fever, chills, coughing that lasts just that night. Additionally, chest tightness & occasional shortness of breath that occurs randomly. No positive COVID test results for anyone in the household despite repeated tests. cut off by CDC

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	Chest discomfort	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SRO	Adverse reaction	✓	✓	✓

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