3ZD-12262-59357 · OpenVSafe

Timeline

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

2021-04-17
Dose 1 — Moderna
2021-05-15
Dose 2 — Moderna
2021-05-20
Registered in v-safe
2021-05-24
Survey response — day 7, dose 2
MedDRA: Brain fog, Dizziness — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness, foggy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-11-15
Dose 3 — Moderna
2021-11-15
Survey response — 6 months, dose 2
MedDRA: Impaired driving ability, Loss of consciousness, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities

Free text: The passing out stopped a little less than three months after my second shot. When I was dealing with the passing out worried about driving and daily activities. Beyond that things are about the same.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — day 0, dose 3
MedDRA: Chest discomfort, Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Heart racing and chest tight

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Heart racing

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — day 7, dose 3
Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-29
Survey response — day 14, dose 3
MedDRA: Arthralgia, Body temperature increased, Loss of consciousness, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever was up in the 103's a couple of days. More body & mainly joint aches. I passed out a couple of times but is nowhere close to as bad as it was after my second shot. Can't afford the copays so I have not gone to the doctor for a check-up.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-17	Moderna
2	2021-05-15	Moderna
3	2021-11-15	Moderna	No

Free text

Release 8 — day 7, dose 2

2021-05-24

Systemic reaction (other): Dizziness, foggy brain

Release 10 — day 0, dose 3

2021-11-15

Systemic reaction (other): Heart racing and chest tight

Release 10 — 6 months, dose 2

2021-11-15

Symptoms: The passing out stopped a little less than three months after my second shot. When I was dealing with the passing out worried about driving and daily activities. Beyond that things are about the same.

Release 10 — days 1–6 daily, dose 3

2021-11-16

Systemic reaction (other): Heart racing

Release 10 — day 14, dose 3

2021-11-29

Symptoms: Fever was up in the 103's a couple of days. More body & mainly joint aches. I passed out a couple of times but is nowhere close to as bad as it was after my second shot. Can't afford the copays so I have not gone to the doctor for a check-up.

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	Arthralgia	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Impaired driving ability	·	·	✓
SD	Loss of consciousness	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Pain	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Palpitations	·	·	✓

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