5KP-28133-06425 · OpenVSafe

Timeline

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

2021-01-08
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Herpes simplex, Pre-existing disease, Stomatitis — Feeling: Good · Site: Pain, Swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-17
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — 0 day, dose 2
Feeling: Fair · Site: Pain, Redness · Chills, Headache · Be unable to work

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Abortion spontaneous — Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes simplex, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Ulcer — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-21
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-02-28
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — 28 day, dose 2
MedDRA: Abortion spontaneous, Infertility — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-05
Report sent to call center — 28 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Call 1 — Left Voicemail
2021-05-09
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-08-06
Survey response — 6 month, dose 2
MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-08-06
Report sent to call center — 6 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-05	Unsuccessful
2021-08-06	Unsuccessful

Free text

Release 1

Systemic reaction (other): Mouth sores and an HSV 1 breakout on lips

Release 3

Systemic reaction (other): Miscarriage

Systemic reaction (other): HSV-1 outbreak

Systemic reaction (other): Apthoid ulcers

Release 5

Symptoms: Miscarriage, unable to conceive

Release 9

Symptoms: Miscarriage the day after second vaccine

Free-text releases are not linked to a specific 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
SD	Abortion spontaneous	✓	✓	✓
SD	Infertility	✓	✓	✓
SRO	Abortion spontaneous	✓	✓	✓
SRO	Herpes simplex	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Ulcer	✓	✓	✓

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