5SN-14344-92068 · OpenVSafe

Timeline

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

2021-03-04
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness

Free text: Swollen a new sore lymph node in armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Swollen and sore lymph node in armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Moderna
Co-administered: Flu
2022-04-02
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-10
Survey response — 12 months, dose 3
MedDRA: COVID-19, Diverticulitis, Ketoacidosis — Feeling: Good · Be unable to work or attend school, 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, Emergency room or emergency department visit, Hospitalization

Free text: I had COVID, ketoacidosis anf diverticulitis

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-12-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-02	Moderna
3	2021-12-10	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-12-10	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Swollen a new sore lymph node in armpit

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Swollen and sore lymph node in armpit

Release 12 — 12 months, dose 3

2022-12-10

Symptoms: I had COVID, ketoacidosis anf diverticulitis

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	COVID-19	·	·	✓
SD	Diverticulitis	·	·	✓
SD	Ketoacidosis	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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