5VT-33018-48043 · OpenVSafe

Timeline

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Back pain, Balance disorder, Chills, Feeling abnormal, Headache, Neck pain, Pyrexia, Vision blurred — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The day after receiving the shot I was very sick. Fever, headache, foggy headed, couldnt concentrate, severe back and neck pain, chills . Very unsteady on my feet. This lasted about 36 hours and then was just exhausted. I am feeling better but still not a lot of energy. I do not think I will take the 2nd shot. At 80 years old I dont want to be that sick again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-26
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-05
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-05-02
Survey response — 3 months, dose 1
MedDRA: Fall — Feeling: Fair · Be unable to do your normal daily activities

Free text: I fell and had some after affects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): The day after receiving the shot I was very sick. Fever, headache, foggy headed, couldnt concentrate, severe back and neck pain, chills . Very unsteady on my feet. This lasted about 36 hours and then was just exhausted. I am feeling better but still not a lot of energy. I do not think I will take the 2nd shot. At 80 years old I dont want to be that sick again.

Release 8 — 3 months, dose 1

2021-05-02

Symptoms: I fell and had some after affects.

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	Fall	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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