4J9-10021-44134 · OpenVSafe

Timeline

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation, Eye swelling — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Not sure if this relates but both my eyes have been burning and are extremely swollen since about 15 hours after vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth — Feeling: Fair · Nausea

Free text: Injection site feels hot to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 14, dose 1
MedDRA: Cough, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Cough fatigue tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-01-12
Survey response — 12 months, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Tested positive for Covid

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-13
Call 1 — Left Voicemail
2022-01-13
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-01-12	Successful 2022-01-13	Does not wish to fill out VAERS report

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Not sure if this relates but both my eyes have been burning and are extremely swollen since about 15 hours after vaccination

2021-01-17

Systemic reaction (other): Injection site feels hot to the touch

Release 2 — day 14, dose 1

2021-01-26

Symptoms: Cough fatigue tiredness

Release 10 — 12 months, dose 1

2022-01-12

Symptoms: Tested positive for Covid

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	Fatigue	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Eye irritation	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓

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