592-33155-68314 · OpenVSafe

Timeline

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

2021-01-20
Dose 1 — Moderna
2021-02-16
Registered in v-safe
2021-02-16
Dose 2 — Moderna
2021-02-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: My sinuses hurt also

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

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

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Dose 3 — Moderna
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Chemotherapy, Myelodysplastic syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diagnosed with myelo dysplasia. On chemotherapy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-16
Survey response — 12 months, dose 2
MedDRA: Office visit, Periarthritis, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Frozen shoulder · Healthcare visit (other): Dr. Office, physical therapy, and an MRI

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-17
Call successful
Participant prefers to complete VAERS report online
2022-03-21
Dose 4 — Moderna
2022-05-21
Dose 5 — Other-Unknown
2022-06-22
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-06-22
Survey response — 3 months, dose 4
MedDRA: Acute myeloid leukaemia — Feeling: Good · Be unable to do your normal daily activities

Free text: I have acute Myleoid Leukemia, preparing for a bone marrow transplant. I have also received the Evusheld vaccine on 5/21/22

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-07-02
Survey response — day 42, dose 5
MedDRA: Adverse drug reaction, Chemotherapy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Developed C-Diff and anther GI tract infection as a result of my chemo. Preparing for bone marrow transplant starting with intense chemo and raduation, will no longer have immunity of any kind

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2022-11-19
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in
2023-05-21
Survey response — 12 months, dose 5
MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-16	Moderna
3	2021-08-17	Moderna	No
4	2022-03-21	Moderna	No
5	2022-05-21	Other-Unknown	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): My sinuses hurt also

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: Diagnosed with myelo dysplasia. On chemotherapy

Release 11 — 12 months, dose 2

2022-02-16

Symptoms: Frozen shoulder

Healthcare visit (other): Dr. Office, physical therapy, and an MRI

Release 12 — 3 months, dose 4

2022-06-22

Symptoms: I have acute Myleoid Leukemia, preparing for a bone marrow transplant. I have also received the Evusheld vaccine on 5/21/22

Release 12 — day 42, dose 5

2022-07-02

Symptoms: Developed C-Diff and anther GI tract infection as a result of my chemo. Preparing for bone marrow transplant starting with intense chemo and raduation, will no longer have immunity of any kind

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	Physiotherapy	·	·	✓
SD	Acute myeloid leukaemia	·	·	✓
SD	Adverse drug reaction	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Chemotherapy	✓	·	✓
SD	Myelodysplastic syndrome	✓	·	✓
SD	Pain in extremity	·	·	✓
SD	Periarthritis	·	·	✓
SRO	Sinus pain	✓	✓	✓

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