4AD-33476-04228 · OpenVSafe

Timeline

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

2020-12-28
Dose 1 — Moderna
2020-12-30
Registered in v-safe
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Severe to moderate back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Arthralgia — Feeling: Fair

Free text: Joint aches - specifically my knees. I have had bilateral total knee replacements years ago. I noticed last week my knees hurt when walking, going up and down stairs, standing from sitting - all the time. And stomach aches when I eat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 21, dose 2
MedDRA: Chest pain, Dyspnoea, Migraine — Feeling: Good

Free text: Chest pain - right upper side - with exertion, more short of breath when exercising or climbing stairs. Migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-27
Survey response — 12 months, dose 2
MedDRA: Brain fog, Cough, Fatigue, Headache, Mental impairment, Oropharyngeal pain, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, then cough, headache, sneezing, fatigue, brain fog - difficulty with some processing.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Severe to moderate back pain

Release 3 — day 14, dose 2

2021-02-08

Symptoms: Joint aches - specifically my knees. I have had bilateral total knee replacements years ago. I noticed last week my knees hurt when walking, going up and down stairs, standing from sitting - all the time. And stomach aches when I eat.

Release 4 — day 21, dose 2

2021-02-15

Symptoms: Chest pain - right upper side - with exertion, more short of breath when exercising or climbing stairs. Migraines

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Sore throat, then cough, headache, sneezing, fatigue, brain fog - difficulty with some processing.

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 upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Mental impairment	·	·	✓
SD	Migraine	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Sneezing	·	·	✓
SRO	Back pain	✓	✓	✓

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