4ZZ-30378-93917 · OpenVSafe

Timeline

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

2021-01-29
Dose 1 — Moderna
2021-01-31
Registered in v-safe
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Muscle or body aches

Free text: soreness on the arm where shot was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — day 14, dose 2
MedDRA: Blood urine present, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I was some blood in urine. Have a dr appt in 3/22 with kidney specialist. · Healthcare visit (other): Have a virtual appt on 3/22/21 and will have lab work done.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Gastroenteritis viral, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Seems like I caught a stomach virus. A little diarrhea and threw up once, and stomachache. My husband got it too but more severe. 24 hrs and it was gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Vaginal haemorrhage — Feeling: Fair

Free text: I was spotting a little. Have a dr appt 7/13/21.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Office visit, Uterine polyp, Vaginal haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Some vaginal bleeding due to polyp. I will have surgery D&C to remove it. · Healthcare visit (other): Doctor visit.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2021-10-05
Dose 3 — Moderna
2022-02-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-27	Moderna
3	2021-10-05	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-13	Unsuccessful
2021-08-28	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): soreness on the arm where shot was given.

Release 5 — day 14, dose 2

2021-03-13

Symptoms: I was some blood in urine. Have a dr appt in 3/22 with kidney specialist.

Healthcare visit (other): Have a virtual appt on 3/22/21 and will have lab work done.

Release 7 — day 42, dose 2

2021-04-10

Symptoms: Seems like I caught a stomach virus. A little diarrhea and threw up once, and stomachache. My husband got it too but more severe. 24 hrs and it was gone.

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: I was spotting a little. Have a dr appt 7/13/21.

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Some vaginal bleeding due to polyp. I will have surgery D&C to remove it.

Healthcare visit (other): Doctor 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	✓	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Blood urine present	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Gastroenteritis viral	✓	✓	✓
SD	Uterine polyp	✓	·	✓
SD	Vaginal haemorrhage	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Injection site pain	✓	✓	✓

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