5KX-22920-16108 · OpenVSafe

Timeline

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-22
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site warmth, Skin lesion, Type IV hypersensitivity reaction — Feeling: Good

Free text: I had a delayed hypersensitivity reaction at the site of my injection including erythema, warmth, and itchiness with satellite lesions as well beginning at day 8 and then resolving day 10 after the injection. Full diameter approx 8 cm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-12
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: These symptoms persisted from Thursday 4-today feb 12

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — day 7, 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)
2021-02-17
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Non resolved sob and fatigue resulting in ekg that was abnormal. Scheduled for ECHO and Stress test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — day 42, dose 2
MedDRA: Chest pain, Dyspnoea, Fatigue, Myocardial infarction, Thrombosis, Vasospasm — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had MI according to EKG done after symptoms doe, CP days 5-11 post vaccine # 2. Negative stress consistent with dissolved thrombus vs Vasospasm. Residual intermittent fatigue and dyspnea still present

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 42, 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)
2021-07-31
Call 1 — Left Voicemail
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna

Call center

3 call center cases

3 unsuccessful

VAERS report filed, before or during a call: 3

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-22

Symptoms: I had a delayed hypersensitivity reaction at the site of my injection including erythema, warmth, and itchiness with satellite lesions as well beginning at day 8 and then resolving day 10 after the injection. Full diameter approx 8 cm

Release 4 — day 7, dose 2

2021-02-12

Systemic reaction (other): These symptoms persisted from Thursday 4-today feb 12

Release 4 — day 14, dose 2

2021-02-17

Symptoms: Non resolved sob and fatigue resulting in ekg that was abnormal. Scheduled for ECHO and Stress test

Release 5 — day 42, dose 2

2021-03-17

Symptoms: I had MI according to EKG done after symptoms doe, CP days 5-11 post vaccine # 2. Negative stress consistent with dissolved thrombus vs Vasospasm. Residual intermittent fatigue and dyspnea still present

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
SD	Chest pain	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Myocardial infarction	✓	✓	✓
SD	Skin lesion	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SD	Type IV hypersensitivity reaction	✓	✓	✓
SD	Vasospasm	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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