4ZN-15497-73123 · OpenVSafe

Timeline

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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding — Feeling: Good

Free text: Im breastfeeding a newborn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-06-10
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-06-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-14
Dose 3 — Moderna
2021-12-14
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Itchy palms

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Good · Site: Pain, Redness, Itching

Free text: Itchy palms

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-12-21
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-12-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-16
Survey response — 6 months, dose 3
MedDRA: Bronchitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Survey response — 12 months, dose 3
MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pregnancy · Healthcare visit (other): Regular check ups

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-19
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	2021-04-22	Moderna
2	2021-05-20	Moderna
3	2021-12-14	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-12-16	Successful 2022-12-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Im breastfeeding a newborn

Release 10 — days 1–6 daily, dose 3

2021-12-15

Systemic reaction (other): Itchy palms

2021-12-17

Systemic reaction (other): Itchy palms

Release 12 — 6 months, dose 3

2022-06-16

Symptoms: Severe bronchitis

Release 12 — 12 months, dose 3

2022-12-16

Symptoms: Pregnancy

Healthcare visit (other): Regular check ups

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	Bronchitis	·	·	✓
SD	Pregnancy	·	·	✓
SRO	Breast feeding	✓	✓	✓
SRO	Pruritus	·	·	✓

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