3Y8-28099-81915 · OpenVSafe

Timeline

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Moderna
2021-02-17
Survey response — day 0, dose 1
MedDRA: Abdominal pain upper, Dizziness, Emergency care, Heart rate decreased, Immediate post-injection reaction, Loss of consciousness, Tachypnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I had severe reaction and was sent to the emergency room. Started with pain in stomach. Then lightheaded and dizzy. Heart rate dropped to 64 then immediately shot to 164. Almost passed out. Rapid heart and breathing. Tingling throughout body. The emergency doctor at the site was applying a lot of pressure to my neck to slow the rate. Very scary and uncomfortable. Since the reaction other more common symptoms are occurring. Some severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Sniffles and runny nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-08-06
Call 1 — Left Voicemail
2021-08-23
Survey response — 6 months, dose 1
MedDRA: Abdominal pain lower, Migraine — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Some lower right abdominal pain. Getting it checked by the doctor this week. Also severe migraine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Report sent to call center — 6 months, dose 1
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)
2021-08-27
Call 1 — Left Voicemail
2022-02-21
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-17

Systemic reaction (other): I had severe reaction and was sent to the emergency room. Started with pain in stomach. Then lightheaded and dizzy. Heart rate dropped to 64 then immediately shot to 164. Almost passed out. Rapid heart and breathing. Tingling throughout body. The emergency doctor at the site was applying a lot of pressure to my neck to slow the rate. Very scary and uncomfortable. Since the reaction other more common symptoms are occurring. Some severe.

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Sniffles and runny nose.

Release 9 — 6 months, dose 1

2021-08-23

Symptoms: Some lower right abdominal pain. Getting it checked by the doctor this week. Also severe migraine.

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	Abdominal pain lower	✓	·	✓
SD	Migraine	✓	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Heart rate decreased	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Loss of consciousness	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Tachypnoea	✓	✓	✓

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