53Q-18615-41562 · OpenVSafe

Timeline

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

2021-03-04
Dose 1 — Moderna
2021-04-03
Dose 2 — Moderna
2021-04-04
Registered in v-safe
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival pruritus — Feeling: Good · Site: Pain · Fever

Free text: My gums itched horribly for 2 days. It has resolved now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival pruritus — Feeling: Good

Free text: My previous itching gums have subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: I'm not a good person to ask as I have multiple physical issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Fair

Free text: Extreme fatigue and shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 21, dose 2
MedDRA: Burning sensation, Gingival pruritus — Feeling: Fair

Free text: Gums itching and legs burn after climbing the staircase.Other than that I am good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Fatigue, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue and muscles burn when climbing stairs.Shortness of breath also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-16
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Fatigue, Headache, Muscular weakness, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, shortness of breath, muscle weakness, nausea, headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Survey response — 12 months, dose 2
MedDRA: Office visit, Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: A full body rash that itches horribly. · Healthcare visit (other): Dermatologist

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-03	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): My gums itched horribly for 2 days. It has resolved now.

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): My previous itching gums have subsided.

2021-04-08

Systemic reaction (other): I'm not a good person to ask as I have multiple physical issues.

Release 7 — day 14, dose 2

2021-04-17

Symptoms: Extreme fatigue and shortness of breath.

Release 7 — day 21, dose 2

2021-04-24

Symptoms: Gums itching and legs burn after climbing the staircase.Other than that I am good

Release 8 — day 28, dose 2

2021-05-01

Symptoms: Extreme fatigue and muscles burn when climbing stairs.Shortness of breath also.

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: Fatigue, shortness of breath, muscle weakness, nausea, headaches.

Release 11 — 12 months, dose 2

2022-04-03

Symptoms: A full body rash that itches horribly.

Healthcare visit (other): Dermatologist

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	Burning sensation	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gingival pruritus	✓	✓	✓
SD	Headache	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SRO	Gingival pruritus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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