76L-13522-85427 · OpenVSafe

Timeline

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

2021-01-28
Dose 1 — Moderna
2021-02-25
Dose 2 — Moderna
2021-11-05
Dose 3 — Moderna
2022-06-03
Dose 4 — Moderna
2022-10-07
Registered in v-safe
2022-10-07
Dose 5 — Moderna
2022-10-07
Health check-in — day 0, dose 5, dependent
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5, dependent
Feeling: Poor · Site: Pain · Muscle or body aches

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5, dependent
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 5, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 5, dependent
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5, dependent
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5, dependent
Feeling: Good · Joint pains

Adult check-in
2022-10-15
Health check-in — day 7, dose 5, dependent
Feeling: Good · None

Adult check-in
2022-10-22
Health check-in — day 14, dose 5, dependent
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 21, dose 5, dependent
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 28, dose 5, dependent
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 35, dose 5, dependent
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 42, dose 5, dependent
MedDRA: Cardiac failure congestive, Coronary arterial stent insertion, Emergency care, Pneumonia — Feeling: Good · 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: Congestive heart failure and pneumonia. Needed to be medevac to (b)(6) for stent placement

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Report sent to call center — day 42, dose 5, dependent
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-11-21
Call 1 — Left Voicemail
2023-01-06
Health check-in — 3 months, dose 5, dependent
Feeling: Good

Adult check-in
2023-04-07
Health check-in — 6 months, dose 5, dependent
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna	No
2	2021-02-25	Moderna	No
3	2021-11-05	Moderna	No
4	2022-06-03	Moderna	No
5	2022-10-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-11-18	Unsuccessful

Free text

Release 12 — day 42, dose 5, dependent

2022-11-18

Symptoms: Congestive heart failure and pneumonia. Needed to be medevac to (b)(6) for stent placement

redacted (b)(6)

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	Cardiac failure congestive	·	·	✓
SD	Coronary arterial stent insertion	·	·	✓
SD	Emergency care	·	·	✓
SD	Pneumonia	·	·	✓

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