4W8-13942-92190 · OpenVSafe

Timeline

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

2021-01-20
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: The data that you have from me begins three days after my injection. I have not provided you any data on the first few hours after the injection. I had a lot of side effects that are not being reported on this form. They occurred before I connected to be safe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Chills, Diarrhoea, Headache, Nausea, Pyrexia, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, chills, fever, diarrhea, nausea last week. These symptoms lasted approximately three days. I took a Covid test three days ago but do not have the results yet.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-20	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): The data that you have from me begins three days after my injection. I have not provided you any data on the first few hours after the injection. I had a lot of side effects that are not being reported on this form. They occurred before I connected to be safe.

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: Headaches, chills, fever, diarrhea, nausea last week. These symptoms lasted approximately three days. I took a Covid test three days ago but do not have the results yet.

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	Chills	✓	·	✓
SD	Diarrhoea	✓	·	✓
SD	Headache	✓	·	✓
SD	Nausea	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	SARS-CoV-2 test	✓	·	✓
SRO	Unevaluable event	✓	✓	✓

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