7W4-26723-52906 · OpenVSafe

Timeline

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Survey response — day 0, dose 1
MedDRA: Eye irritation — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Nausea

Free text: Burning in eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-26
Dose 2 — Moderna
2021-01-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-09-28
Dose 3 — Moderna
2022-03-31
Survey response — 6 months, dose 3
MedDRA: Ectopic pregnancy, Surgery — Feeling: Good · Be unable to work or attend school, 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: Symptoms: Ectopic pregnancy · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 6 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna
3	2021-09-28	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-31	Unsuccessful

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): Burning in eyes

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: Ectopic pregnancy

Healthcare visit (other): Surgery

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	Surgery	·	·	✓
SD	Ectopic pregnancy	·	·	✓
SRO	Eye irritation	✓	✓	✓

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