5W8-25339-34210 · OpenVSafe

Timeline

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

2020-12-30
Dose 1 — Moderna
2020-12-31
Registered in v-safe
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat and ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Headache

Free text: Throat pain and ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-06
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — day 14, dose 1
MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Be unable to work

Free text: Chest pain sob

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Be unable to work

1 call case(s)
2021-01-20
Survey response — day 21, dose 1
MedDRA: Ageusia, Anosmia, Ataxia, Balance disorder, Chest pain, Dyspnoea, Feeling abnormal, Feeling jittery, Headache, Palpitations, Vertigo — Feeling: Poor · Be unable to work

Free text: Brain fog, headache, disequilibrium, ataxia, vertigo, jitters, dyspnea, chest pain, heart palpitations, loss of taste and smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — day 21, dose 1
Be unable to work

1 call case(s)
2021-01-29
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Call 1 — Left Voicemail
2021-12-30
Survey response — 12 months, dose 1
MedDRA: Chills, Pain, Productive cough, Pyrexia, Respiratory tract congestion, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fever, chills, body ache, congestion, productive cough · Healthcare visit (other): No insurance

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-01-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-20	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-30	Successful 2022-01-04	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Sore throat and ear ache

2021-01-01

Systemic reaction (other): Throat pain and ears

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Shortness of breath

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Chest pain sob

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Brain fog, headache, disequilibrium, ataxia, vertigo, jitters, dyspnea, chest pain, heart palpitations, loss of taste and smell

Release 10 — 12 months, dose 1

2021-12-30

Symptoms: Fever, chills, body ache, congestion, productive cough

Healthcare visit (other): No insurance

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	Unevaluable event	·	·	✓
SD	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Ataxia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Feeling jittery	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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