6XP-80114-73906 · OpenVSafe

Timeline

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Survey response — day 0, dose 1
MedDRA: Limb discomfort — Feeling: Good

Free text: Arm sore - mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Feeling symptom free

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-21
Dose 3 — Moderna
2021-10-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-21
Survey response — 3 months, dose 3
MedDRA: Cardiovascular disorder, Cyanosis, Mitral valve incompetence, Office visit, Peripheral coldness, Peripheral vascular disorder, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: UTI INFECTION, circulation problem, (fingers get cold, tips of fingers/nails turn blue). · Healthcare visit (other): Normal Dr visit- taking antibiotics/waiting for culture results of urine specimen. Circulation problem started 9/14/21 while having a TEE test done on my heart Forgot to tell Cardiologist when I went in to get tests results-leaky Mitral Valve.

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-23
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-21
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Good · 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: COVID-late June. Dr gave me prescription for Paxlovid.

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-22
Call 1 — Left Voicemail
2022-09-23
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-09-21	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-14

Systemic reaction (other): Arm sore - mild

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Feeling symptom free

Release 10 — 3 months, dose 3

2021-12-21

Symptoms: UTI INFECTION, circulation problem, (fingers get cold, tips of fingers/nails turn blue).

Healthcare visit (other): Normal Dr visit- taking antibiotics/waiting for culture results of urine specimen. Circulation problem started 9/14/21 while having a TEE test done on my heart Forgot to tell Cardiologist when I went in to get tests results-leaky Mitral Valve.

Release 12 — 12 months, dose 3

2022-09-21

Symptoms: COVID-late June. Dr gave me prescription for Paxlovid.

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	Cardiovascular disorder	·	·	✓
HCVO	Mitral valve incompetence	·	·	✓
HCVO	Office visit	·	·	✓
SD	COVID-19	·	·	✓
SD	Cyanosis	·	·	✓
SD	Peripheral coldness	·	·	✓
SD	Peripheral vascular disorder	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Limb discomfort	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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