68K-11419-25000 · OpenVSafe

Timeline

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

2021-03-04
Dose 1 — Moderna
2021-03-05
Registered in v-safe
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Bronchitis, Dyspnoea — Feeling: Fair · Headache

Free text: Difficulty breathing, bronchitis like symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Good · Diarrhea

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 7, dose 2
MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair

Free text: Runny nose, stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 2
MedDRA: Contusion — Feeling: Good

Free text: Random bruises on my arm and leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 28, dose 2
MedDRA: Rash — Feeling: Good

Free text: Burn type rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Difficulty breathing, bronchitis like symptoms

2021-03-08

Systemic reaction (other): Shortness of breath

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Runny nose, stuffy nose

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Random bruises on my arm and leg

Release 8 — day 28, dose 2

2021-04-29

Symptoms: Burn type rash

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	Contusion	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Bronchitis	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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