47V-30715-30481 · OpenVSafe

Timeline

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness · Headache, Nausea

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort, Renal cyst — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache

Free text: I have a cystic kidney and it has given me a little discomfort today .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Renal pain — Feeling: Fair · Chills

Free text: Kidney is still a little painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Chills, Condition aggravated, Diarrhoea, Pre-existing disease — Feeling: Good · Diarrhea, Abdominal pain

Free text: Kidney isnt bothering me as much today. Please remember I said I have a systic kidney. I have noticed no blood or anything in urine but have had the kidney pain. Chills seem to have eased considerably but last night I had abdominal cramps and diarrhea. Better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Renal pain — Feeling: Good

Free text: Kidney pain has subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Food allergy, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: I have had grapefruit juice twice three days apart. Each time I have got a very itching feeling face head neck upper body. I drink orange and grapefruit juice all the time. Have never had this reaction before. Orange juice does not cause any reaction. FYI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-10	Moderna

Free text

Release 4 — day 0, dose 1

2021-02-12

Systemic reaction (other): No

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): I have a cystic kidney and it has given me a little discomfort today .

2021-02-14

Systemic reaction (other): Kidney is still a little painful.

2021-02-15

Systemic reaction (other): Kidney isnt bothering me as much today. Please remember I said I have a systic kidney. I have noticed no blood or anything in urine but have had the kidney pain. Chills seem to have eased considerably but last night I had abdominal cramps and diarrhea. Better today.

2021-02-16

Systemic reaction (other): Kidney pain has subsided.

2021-02-18

Systemic reaction (other): I have had grapefruit juice twice three days apart. Each time I have got a very itching feeling face head neck upper body. I drink orange and grapefruit juice all the time. Have never had this reaction before. Orange juice does not cause any reaction. FYI

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): No

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
SRO	Abdominal pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Food allergy	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Renal cyst	✓	✓	✓
SRO	Renal pain	✓	✓	✓

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