4WS-22290-18138 · OpenVSafe

Timeline

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

2021-01-14
Dose 1 — Moderna
2021-02-11
Dose 2 — Moderna
2021-02-15
Registered in v-safe
2021-02-23
Survey response — day 7, dose 2
MedDRA: Bronchitis, Fatigue, Pain in extremity — Feeling: Good

Free text: 1st Moderna vac. on Jan11, '21 -sore arm and fatigue for couple days. Approx 12days after that shot dev sx. of bronchitis, lasted 5 days. 2nd Moderna vac on Feb 11, '21, sore arm and fatigue for a few days. No further sx as of today. TY !

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 14, dose 2
MedDRA: Dizziness, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Queezy stomach, woozy head, both mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 42, dose 2
MedDRA: Ear pain, Musculoskeletal chest pain — Feeling: Good

Free text: 3-4 weeks ago: 3-4 transient, fleeting (approx 2 minutes) episodes of mild ear pain, resolved. Also, about 3 weeks ago: a 3-4 episodes of intercostal rib pain, 3 on scale 0-10, lasting approx a half day to 2 days, resolved with out medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Fatigue, Gastrointestinal pain, Headache, Influenza like illness, Medical counselling, Nasopharyngitis, Nausea, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Mild Flu like, naseous stomach, crampy intestines, continuous all-over-the-head head ache, fatigue. No temp, vomiting or diarrhea. Day 6 head cold sx began. Rapid and PCR tests neg Flu going around this area per MD assistant. Slim chance tick bourne.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna

Free text

Release 4 — day 7, dose 2

2021-02-23

Systemic reaction (other): 1st Moderna vac. on Jan11, '21 -sore arm and fatigue for couple days. Approx 12days after that shot dev sx. of bronchitis, lasted 5 days. 2nd Moderna vac on Feb 11, '21, sore arm and fatigue for a few days. No further sx as of today. TY !

Release 4 — day 14, dose 2

2021-03-01

Symptoms: Queezy stomach, woozy head, both mild

Release 6 — day 42, dose 2

2021-03-31

Symptoms: 3-4 weeks ago: 3-4 transient, fleeting (approx 2 minutes) episodes of mild ear pain, resolved. Also, about 3 weeks ago: a 3-4 episodes of intercostal rib pain, 3 on scale 0-10, lasting approx a half day to 2 days, resolved with out medication.

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Mild Flu like, naseous stomach, crampy intestines, continuous all-over-the-head head ache, fatigue. No temp, vomiting or diarrhea. Day 6 head cold sx began. Rapid and PCR tests neg Flu going around this area per MD assistant. Slim chance tick bourne. cut off by CDC

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	Diarrhoea	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Gastrointestinal pain	✓	·	✓
SD	Headache	✓	·	✓
SD	Influenza like illness	✓	·	✓
SD	Medical counselling	✓	·	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Nasopharyngitis	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Vomiting	✓	·	✓
SRO	Bronchitis	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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