5U6-11318-02830 · OpenVSafe

Timeline

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

2020-12-29
Dose 1 — Moderna
2021-01-09
Registered in v-safe
2021-01-09
Survey response — day 7, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — day 14, dose 1
MedDRA: Back pain, Fatigue — Feeling: Fair

Free text: Fatigue and right middle back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Eye swelling, Vision blurred — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Eyes were swollen the next day. Right eye blurry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-12
Survey response — day 14, dose 2
MedDRA: Alopecia, Arthralgia, Eye pain, Muscle spasms — Feeling: Fair

Free text: Hair falling out. Joint pain. Muscle cramping. Right eye ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — day 21, dose 2
MedDRA: Alopecia, Arthralgia — Feeling: Fair

Free text: Hair falling outJoint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 28, dose 2
MedDRA: Alopecia, Arthralgia, Fatigue, Feeling abnormal — Feeling: Fair

Free text: Hair falling out. Joint pain in hands, feet, knees and hips. Fatigue. Brain fog decreased mental sharpness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 35, dose 2
MedDRA: Alopecia, Arthralgia, Feeling abnormal, Joint swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: Swollen hands with joint pain. Brain fogHair falling out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Survey response — 3 months, dose 2
MedDRA: Amnesia, Arthralgia, Office visit, Rheumatoid arthritis — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Memory loss. New diagnosis of Rheumatoid arthritis. Joint pain. · Healthcare visit (other): Dr app

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-01
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-13
Call 1 — Could Not Reach Participant
2022-04-18
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-29	Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-09

Systemic reaction (other): Back pain

Release 1 — day 14, dose 1

2021-01-12

Symptoms: Fatigue and right middle back pain

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Eyes were swollen the next day. Right eye blurry

2021-02-04

Systemic reaction (other): Malaise

Release 4 — day 14, dose 2

2021-02-12

Symptoms: Hair falling out. Joint pain. Muscle cramping. Right eye ache.

Release 4 — day 21, dose 2

2021-02-21

Symptoms: Hair falling outJoint pain

Release 4 — day 28, dose 2

2021-02-26

Symptoms: Hair falling out. Joint pain in hands, feet, knees and hips. Fatigue. Brain fog decreased mental sharpness.

Release 5 — day 35, dose 2

2021-03-05

Symptoms: Swollen hands with joint pain. Brain fogHair falling out

Release 8 — 3 months, dose 2

2021-04-30

Symptoms: Memory loss. New diagnosis of Rheumatoid arthritis. Joint pain.

Healthcare visit (other): Dr app

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	Alopecia	✓	✓	✓
SD	Amnesia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Rheumatoid arthritis	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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