5DD-80608-61365 · OpenVSafe

Timeline

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

2021-03-30
Dose 1 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Survey response — day 7, dose 1
MedDRA: Fatigue, Injection site rash — Feeling: Fair · Site: Redness, Swelling, Itching · Diarrhea · Be unable to do your normal daily activities

Free text: Rash at site a week later. Exhaustion the day afterand for several days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Dose 2 — Moderna
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dysstasia, Gait disturbance, Mobility decreased, Movement disorder, No adverse event, Unevaluable event, Visual impairment — Feeling: Poor · Site: Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Unable to see properly or stand/move/walk · Healthcare visit (other): None. In bed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Survey response — day 14, dose 2
MedDRA: Blindness transient, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache and right eye temprorary can't see when the headache happens

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Survey response — 3 months, dose 2
MedDRA: Chills, Headache, Malaise, Oropharyngeal pain, Rhinalgia, SARS-CoV-2 test, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Feel like I'm getting sick,possibly covid. Sore throat, massive headaches that won't let up,mailaise,sore nasal passages,chills and so much dripping from my nose. Started w the headache on my birthday the 2nd really late at night. Covid test tomorrow · Healthcare visit (other): Waiting for drive through covid test. My area ran out ofa lot of the drive or walk in tests as well as the binax test. It'll be 4 days before I know most likely

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-17
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-05-06	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Rash at site a week later. Exhaustion the day afterand for several days

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Unable to see properly or stand/move/walk

Healthcare visit (other): None. In bed

Release 8 — day 14, dose 2

2021-05-20

Symptoms: Headache and right eye temprorary can't see when the headache happens

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: Feel like I'm getting sick,possibly covid. Sore throat, massive headaches that won't let up,mailaise,sore nasal passages,chills and so much dripping from my nose. Started w the headache on my birthday the 2nd really late at night. Covid test tomorrow cut off by CDC

Healthcare visit (other): Waiting for drive through covid test. My area ran out ofa lot of the drive or walk in tests as well as the binax test. It'll be 4 days before I know most likely

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	No adverse event	✓	✓	✓
HCVO	SARS-CoV-2 test	✓	·	✓
HCVO	Unevaluable event	○	✓	○
SD	Blindness transient	✓	✓	✓
SD	Chills	✓	·	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Rhinalgia	✓	·	✓
SD	Upper-airway cough syndrome	✓	·	✓
SRO	Dysstasia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Mobility decreased	✓	·	✓
SRO	Movement disorder	○	✓	○
SRO	Visual impairment	✓	✓	✓

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