5XB-20633-34256 · OpenVSafe

Timeline

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

2021-10-28
Dose 1 — Moderna
Co-administered: Flu
2021-10-29
Registered in v-safe
2021-10-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · Diarrhea

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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

Adult check-in
2021-11-03
Report sent to call center — days 1–6 daily, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-04
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-11-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2022-01-29
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2022-04-28
Survey response — 6 months, dose 1
MedDRA: Malaise, Office visit — 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

Free text: For over a month i was sick and the dr couldn't understand 3 rounds of antibiotics and 2 rounds of steroids.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-28	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-11-03	Successful 2021-11-04	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-28	Successful 2022-04-29	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 11 — 6 months, dose 1

2022-04-28

Symptoms: For over a month i was sick and the dr couldn't understand 3 rounds of antibiotics and 2 rounds of steroids.

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	Malaise	·	·	✓
SD	Office visit	·	·	✓

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