5XF-16913-43592 · OpenVSafe

Timeline

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

2021-02-04
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Injection site swelling — Feeling: Good · Muscle or body aches

Free text: A little Sore spot, touchy, swollen slightly at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Throat irritation — Feeling: Fair

Free text: Throat irritated and left ear ache in deep canal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 35, dose 2
MedDRA: Immunodeficiency, Office visit, Pre-existing disease, Protein total increased, SARS-CoV-2 antibody test negative — Feeling: Good

Free text: A lab draw requested by my hematologist for spike protein showed that the two vaccines I had completed showed negative antibody results since I am immunocompromised. Others with immune system problems may not get protection from covid vaccines either

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Dose 3 — Moderna
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Survey response — 3 months, dose 3
MedDRA: Cataract operation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had one cataract taken out Tuesday with eye drops and will have other done December 7.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-22
Call 1 — Left Voicemail
2021-11-24
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-18
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-08-17	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): A little Sore spot, touchy, swollen slightly at injection site.

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Throat irritated and left ear ache in deep canal.

Release 7 — day 35, dose 2

2021-04-08

Symptoms: A lab draw requested by my hematologist for spike protein showed that the two vaccines I had completed showed negative antibody results since I am immunocompromised. Others with immune system problems may not get protection from covid vaccines either cut off by CDC

Release 10 — 3 months, dose 3

2021-11-18

Symptoms: I had one cataract taken out Tuesday with eye drops and will have other done December 7.

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	Cataract operation	·	·	✓
SD	Immunodeficiency	○	✓	○
SD	Office visit	○	✓	○
SD	Pre-existing disease	✓	·	✓
SD	Protein total increased	○	✓	○
SD	SARS-CoV-2 antibody test negative	✓	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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