6RX-13658-41532 · OpenVSafe

Timeline

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

2021-02-13
Dose 1 — Moderna
2021-03-13
Dose 2 — Moderna
2021-03-14
Registered in v-safe
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Back pain, Dizziness, Headache, Office visit, Pregnancy, Vasa praevia, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with Vasa Previa (at 21 wks pregnancy)Infant slight restricted growth (aroubd a week behind)Blurred vision Light headednessPelvic pressureLightning crotchHeadachesBack aches · Healthcare visit (other): Visit with Maternal fetal specialist, and high rosk pregnancy ultrasound, echo for baby

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Left Voicemail
2021-09-11
Survey response — 6 months, dose 2
MedDRA: Cough, Gestational diabetes, Headache, Influenza, Insulin therapy, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Sinus disorder, Uterine contractions during pregnancy — Feeling: Good · Be unable to do your normal daily activities

Free text: Gestational diabetes (14 units insulin nightly), braxton hicks daily, past 7 days had cold/flu/covid symptoms - sore troat, headache, sinus issies, congestion, cough (negative Covid tests day 3 and 5)

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Survey response — 12 months, dose 2
MedDRA: Alopecia, Arthralgia, Headache, Lethargy, SARS-CoV-2 test positive, Weight increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tested positive for Covid January 2022. Overall new symptoms include lethargy, hair loss, weight gain, painful joints, and headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-13	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-14	priority 2/3
2021-06-12	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-13	Successful 2022-03-15	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Lightheadedness

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Diagnosed with Vasa Previa (at 21 wks pregnancy)Infant slight restricted growth (aroubd a week behind)Blurred vision Light headednessPelvic pressureLightning crotchHeadachesBack aches

Healthcare visit (other): Visit with Maternal fetal specialist, and high rosk pregnancy ultrasound, echo for baby

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Gestational diabetes (14 units insulin nightly), braxton hicks daily, past 7 days had cold/flu/covid symptoms - sore troat, headache, sinus issies, congestion, cough (negative Covid tests day 3 and 5)

Release 11 — 12 months, dose 2

2022-03-13

Symptoms: Tested positive for Covid January 2022. Overall new symptoms include lethargy, hair loss, weight gain, painful joints, and headaches.

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	✓	✓	✓
SD	Alopecia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Gestational diabetes	·	·	✓
SD	Headache	✓	✓	✓
SD	Influenza	·	·	✓
SD	Insulin therapy	·	·	✓
SD	Lethargy	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Uterine contractions during pregnancy	·	·	✓
SD	Vasa praevia	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SD	Weight increased	·	·	✓
SRO	Dizziness	✓	✓	✓

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