864-16040-30143 · OpenVSafe

Timeline

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

2021-08-06
Registered in v-safe
2021-08-06
Dose 1 — Moderna
2021-08-06
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-08-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-08-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-08-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-08-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-08-11
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I completed (b)(6) profile as mine, this represents (b)(6) instead

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-08-22
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-08-27
Survey response — day 21, dose 1
MedDRA: Fatigue, Malaise — Feeling: Fair

Free text: Malaise, fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-07
Survey response — 3 months, dose 1
MedDRA: Ear discomfort, Tinnitus — Feeling: Poor

Free text: Ringing and pressure in ears

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-06	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-11

Systemic reaction (other): I completed (b)(6) profile as mine, this represents (b)(6) instead

redacted (b)(6)

Release 9 — day 21, dose 1

2021-08-27

Symptoms: Malaise, fatigue

Release 10 — 3 months, dose 1

2021-11-07

Symptoms: Ringing and pressure in ears

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	Ear discomfort	·	·	✓
SD	Fatigue	✓	·	✓
SD	Malaise	✓	·	✓
SD	Tinnitus	·	·	✓
SRO	Unevaluable event	✓	·	✓

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