65B-68676-46999 · OpenVSafe

Timeline

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

2021-03-10
Dose 1 — Moderna
2021-04-07
Dose 2 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence, Pain — Feeling: Fair · Diarrhea, Abdominal pain

Free text: Gas pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Tooth disorder — Feeling: Good · Diarrhea, Abdominal pain

Free text: Tooth issues since after first shot /related?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Fair · Diarrhea, Abdominal pain

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Abdominal distension, Abdominal pain, Emergency care, Flatulence, Insomnia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: GI distress gas bloating and sleeplessness due to R lower abdominal pain In the ER now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Insomnia, Office visit — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Severe abdominal pain, sleeplessness · Healthcare visit (other): GI specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 28, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 42, dose 2
MedDRA: Erythema, Erythema of eyelid, Eyelid rash, Eyelids pruritus, Pruritus, Rash, Swelling face, Swelling of eyelid, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Facial rash and swelling red and itching including one eye lid. · Healthcare visit (other): Referal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Bursitis — Feeling: Good

Free text: Left leg bursitis at ankle knee and possibly great toe. Pain can be severe and nothing I have done to relieve pressure, rest ice compression elevation and NSAIDS has helped. It started at my left heel and then tie and now 2 locations in my knee.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-01-03
Call 1 — Left Voicemail
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Gas pains

2021-04-12

Systemic reaction (other): Tooth issues since after first shot /related?

Release 8 — day 21, dose 2

2021-04-28

Symptoms: GI distress gas bloating and sleeplessness due to R lower abdominal pain In the ER now.

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Severe abdominal pain, sleeplessness

Healthcare visit (other): GI specialist

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Facial rash and swelling red and itching including one eye lid.

Healthcare visit (other): Referal

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Left leg bursitis at ankle knee and possibly great toe. Pain can be severe and nothing I have done to relieve pressure, rest ice compression elevation and NSAIDS has helped. It started at my left heel and then tie and now 2 locations in my knee.

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Bursitis	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Erythema of eyelid	✓	✓	✓
SD	Eyelid rash	✓	✓	✓
SD	Eyelids pruritus	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Swelling of eyelid	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Tooth disorder	✓	✓	✓

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