5NM-19220-30526 · OpenVSafe

Timeline

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

2020-12-31
Dose 1 — Moderna
2021-01-29
Dose 2 — Moderna
2021-10-31
Dose 3 — Moderna
2021-11-02
Registered in v-safe
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Wheezing — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Rhinorrhea congestion cough wheezing

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Nasal congestion, Respiratory symptom — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Continued URI symptoms stuffy nose cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion, Wheezing — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion cough wheeze

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion, Wheezing — Feeling: Fair · Fatigue or tiredness

Free text: Ongoing cough congestion wheeze

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Asthma, Cough, Oral herpes, Upper respiratory tract infection — Feeling: Fair

Free text: Asthma still cough but URI resolving. Cold sore

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — day 7, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain

Free text: Ongoing mild asthma exacerbation

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-05
Survey response — day 35, dose 3
MedDRA: Blood pressure increased, Pain, Peripheral swelling, Pregnancy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Elevated blood pressure at 36 weeks pregnancy and pain and leg swelling

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna	No
2	2021-01-29	Moderna	No
3	2021-10-31	Moderna	No

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Rhinorrhea congestion cough wheezing

2021-11-03

Systemic reaction (other): Continued URI symptoms stuffy nose cough

2021-11-04

Systemic reaction (other): Congestion cough wheeze

2021-11-05

Systemic reaction (other): Ongoing cough congestion wheeze

2021-11-06

Systemic reaction (other): Asthma still cough but URI resolving. Cold sore

Release 10 — day 7, dose 3

2021-11-07

Systemic reaction (other): Ongoing mild asthma exacerbation

Release 10 — day 35, dose 3

2021-12-05

Symptoms: Elevated blood pressure at 36 weeks pregnancy and pain and leg swelling

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	Blood pressure increased	·	·	✓
SD	Pain	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pregnancy	·	·	✓
SRO	Asthma	·	·	✓
SRO	Cough	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Oral herpes	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Respiratory symptom	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Upper respiratory tract infection	·	·	✓
SRO	Wheezing	·	·	✓

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