6V2-33221-32099 · OpenVSafe

Timeline

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

2021-04-09
Dose 1 — Moderna
2021-05-18
Dose 2 — Moderna
2022-01-13
Registered in v-safe
2022-01-13
Dose 3 — Janssen/Johnson & Johnson
2022-01-13
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2022-01-14
Survey response — days 1–6 daily, dose 3
MedDRA: Hypopnoea — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shallow breath

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Survey response — day 7, dose 3
MedDRA: Pain, Pulse abnormal — Feeling: Fair · Diarrhea

Free text: Random Sharp Pains on body with pulsing

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Survey response — day 21, dose 3
MedDRA: Petechiae — Feeling: Good

Free text: blood surfacing under skin (very small- kinda like freckles but smaller) only a few and they go away after a few days

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Survey response — day 42, dose 3
MedDRA: Abdominal pain upper, Dyspepsia — Feeling: Good

Free text: Odd stomach ache/ indigestion

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Survey response — 3 months, dose 3
MedDRA: Abdominal discomfort, Chest pain, Dyspnoea, Erythema — Feeling: Fair

Free text: Little red blood dots under my skin. Upset stomach after I eat- feels like a brick in my stomach. Random Sharp Chest pains Difficultly taking deep breaths when I get these sharp chest pains.

MedDRA releases: 2024-11 · check-in free text available
2023-01-15
Survey response — 12 months, dose 3
MedDRA: Malaise, Pharyngitis streptococcal — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-15
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-16
Call 1 — Could Not Reach Participant
2023-01-19
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna	No
2	2021-05-18	Moderna	No
3	2022-01-13	Janssen/Johnson & Johnson	No

Call center

Reported	Outcome	VAERS-related outcome
2023-01-15	Successful 2023-01-19	Participant prefers to complete VAERS report online

Free text

Release 10 — days 1–6 daily, dose 3

2022-01-14

Systemic reaction (other): Shallow breath

Release 10 — day 7, dose 3

2022-01-20

Systemic reaction (other): Random Sharp Pains on body with pulsing

Release 11 — day 21, dose 3

2022-02-05

Symptoms: blood surfacing under skin (very small- kinda like freckles but smaller) only a few and they go away after a few days

Release 11 — day 42, dose 3

2022-02-26

Symptoms: Odd stomach ache/ indigestion

Release 11 — 3 months, dose 3

2022-04-14

Symptoms: Little red blood dots under my skin. Upset stomach after I eat- feels like a brick in my stomach. Random Sharp Chest pains Difficultly taking deep breaths when I get these sharp chest pains.

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	Abdominal discomfort	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Chest pain	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Erythema	·	·	✓
SD	Malaise	·	·	✓
SD	Petechiae	·	·	✓
SD	Pharyngitis streptococcal	·	·	✓
SRO	Hypopnoea	·	·	✓
SRO	Pain	·	·	✓
SRO	Pulse abnormal	·	·	✓

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