66P-25871-21118 · OpenVSafe

Timeline

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

2021-04-13
Dose 1 — Moderna
2021-05-11
Dose 2 — Moderna
2021-05-12
Registered in v-safe
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-25
Survey response — day 14, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-25
Survey response — day 42, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Autoimmune issues over the past 3 weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call successful
Participant prefers to complete VAERS report online
2021-08-10
Survey response — 3 months, dose 2
MedDRA: Pregnancy — Feeling: Fair · 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: Pregnancy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call 2 — Left Voicemail
2021-11-09
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — 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 · Telehealth, virtual health, or email health consultation

Free text: Bad cold for past 2 weeks

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Report sent to call center — 6 months, dose 2
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)
2021-11-11
Call 2 — Left Voicemail
2022-05-13
Survey response — 12 months, dose 2
MedDRA: COVID-19, Delivery — 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 · Emergency room or emergency department visit, Hospitalization

Free text: COVID, gave birth

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-16
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	2021-04-13	Moderna
2	2021-05-11	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-06-25	Successful 2021-06-30	Participant prefers to complete VAERS report online
2021-08-10	Successful 2022-05-16	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-09	Successful 2022-05-16	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-13	Successful 2022-05-16	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Dizzy

Release 8 — day 14, dose 2

2021-05-25

Symptoms: Cold symptoms

Release 9 — day 42, dose 2

2021-06-25

Symptoms: Autoimmune issues over the past 3 weeks

Release 9 — 3 months, dose 2

2021-08-10

Symptoms: Pregnancy

Release 10 — 6 months, dose 2

2021-11-09

Symptoms: Bad cold for past 2 weeks

Release 11 — 12 months, dose 2

2022-05-13

Symptoms: COVID, gave birth

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	COVID-19	·	·	✓
SD	Delivery	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	✓	·	✓
SRO	Dizziness	✓	✓	✓

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