3WG-10630-86389 · OpenVSafe

Timeline

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

2021-03-05
Dose 1 — Moderna
2021-04-02
Dose 2 — Moderna
2021-10-30
Dose 3 — Moderna
2021-11-02
Registered in v-safe
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain upper, Arthralgia, Chills, Fatigue, Headache, Loss of personal independence in daily activities, Nausea — Feeling: Good

Free text: I don't have symptoms today however the day after the injection I did. I have chills, fatigue, a painful shoulder, nausea, stomach ache , and headaches. I was functionless for a solid day. This was not the case with the previous two shots.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-29
Survey response — 3 months, dose 3
MedDRA: COVID-19, Cough, Headache, SARS-CoV-2 test negative — Feeling: Good

Free text: I contracted COVID a few days after Christmas. I tested negative twice after 6 days but I had sporadic coughing fits that lasted two weeks, followed with a 2-day headache. The headache is gone but in the morning I still sometimes cough when I wake up

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna	No
2	2021-04-02	Moderna	No
3	2021-10-30	Moderna	No

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): I don't have symptoms today however the day after the injection I did. I have chills, fatigue, a painful shoulder, nausea, stomach ache , and headaches. I was functionless for a solid day. This was not the case with the previous two shots.

Release 11 — 3 months, dose 3

2022-01-29

Symptoms: I contracted COVID a few days after Christmas. I tested negative twice after 6 days but I had sporadic coughing fits that lasted two weeks, followed with a 2-day headache. The headache is gone but in the morning I still sometimes cough when I wake up 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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Headache	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Chills	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Loss of personal independence in daily activities	·	·	✓
SRO	Nausea	·	·	✓

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