4LG-29603-72278 · OpenVSafe

Timeline

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

2021-08-22
Dose 1 — Moderna
2021-10-03
Dose 2 — Moderna
2021-10-05
Registered in v-safe
2021-10-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-10
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-10-03
Survey response — 12 months, dose 2
MedDRA: Office visit, Vitreous detachment — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Posterior vitreal detachment · Healthcare visit (other): Optometrist office visit

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-22	Moderna	No
2	2021-10-03	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-10-03	Successful 2022-10-05	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 12 — 12 months, dose 2

2022-10-03

Symptoms: Posterior vitreal detachment

Healthcare visit (other): Optometrist office visit

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
HCVO	Office visit	·	·	✓
SD	Vitreous detachment	·	·	✓

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