5R6-16180-43802 · OpenVSafe

Timeline

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

2021-04-06
Dose 1 — Moderna
2021-04-10
Registered in v-safe
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Biliary colic, Self-medication — Feeling: Poor · Site: Pain · Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in gallbladder area extreme Abdominal pain for 2 days. Extreme yesterday. Pepcid provided no relief. 50 milligrams Benadryl helped but still in pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Abdominal pain

Adult check-in
2021-04-13
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Good

Free text: I definitely had an allergic reaction that responded to Benadryl. Going to get my blood taken tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 21, dose 1
MedDRA: Chest pain — Feeling: Good

Free text: Occasional sharp chest pain but no problem breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Survey response — 3 months, dose 1
MedDRA: Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Intermittent chest pain left side. Highly focused. Comes and goes. Worse at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call 1 — Left Voicemail
2021-07-09
Call 2 — Left Voicemail
2021-10-05
Survey response — 6 months, dose 1
MedDRA: Angina pectoris, Fibrin D dimer increased, Hypersensitivity, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Heart pain since moderna and increased reaction to polysorbates and PEG. Saw specialist 4 months after vaccination and no clear cause beyond system allergic reaction. I had elevated ddimer when vaccinated and am highly allergic. · Healthcare visit (other): Allergist neurologist

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-08
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-10-08
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-04-06
Survey response — 12 months, dose 1
MedDRA: Hypersensitivity, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ringing in ear and more severe allergic reaction · Healthcare visit (other): Allergist

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-12
Call 1 — Left Voicemail
2022-04-12
Call successful
Other

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Pain in gallbladder area extreme Abdominal pain for 2 days. Extreme yesterday. Pepcid provided no relief. 50 milligrams Benadryl helped but still in pain

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): I definitely had an allergic reaction that responded to Benadryl. Going to get my blood taken tomorrow

Release 8 — day 21, dose 1

2021-04-27

Symptoms: Occasional sharp chest pain but no problem breathing

Release 9 — 3 months, dose 1

2021-07-06

Symptoms: Intermittent chest pain left side. Highly focused. Comes and goes. Worse at night

Release 10 — 6 months, dose 1

2021-10-05

Symptoms: Heart pain since moderna and increased reaction to polysorbates and PEG. Saw specialist 4 months after vaccination and no clear cause beyond system allergic reaction. I had elevated ddimer when vaccinated and am highly allergic.

Healthcare visit (other): Allergist neurologist

Release 11 — 12 months, dose 1

2022-04-06

Symptoms: Ringing in ear and more severe allergic reaction

Healthcare visit (other): Allergist

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	·	·	✓
SD	Angina pectoris	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Fibrin D dimer increased	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Biliary colic	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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