4TF-10255-95587 · OpenVSafe

Timeline

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Myalgia — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: I'm absolutely exhausted and the shot site muscle area is extremely painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Diarrhea

Free text: I doubt it's related to the vaccine but could be so I'm listing it anyway.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-09-01
Survey response — 6 months, dose 1
MedDRA: Office visit, 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

Free text: Symptoms: I tested positive for covid on Monday. I had been at a family gathering 7 days prior and 4 people were from Florida and not vaccinated. · Healthcare visit (other): Regular office visit with my primary care specialist.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Report sent to call center — 6 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

1 call case(s)
2021-09-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-03
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-09-01	Successful 2021-09-03	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): I'm absolutely exhausted and the shot site muscle area is extremely painful.

2021-03-09

Systemic reaction (other): I doubt it's related to the vaccine but could be so I'm listing it anyway.

Release 9 — 6 months, dose 1

2021-09-01

Symptoms: I tested positive for covid on Monday. I had been at a family gathering 7 days prior and 4 people were from Florida and not vaccinated.

Healthcare visit (other): Regular office visit with my primary care specialist.

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	SARS-CoV-2 test positive	✓	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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