A47-48148-29238 · OpenVSafe

Timeline

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

2021-03-31
Dose 1 — Moderna
2021-04-28
Dose 2 — Moderna
2021-11-08
Dose 3 — Moderna
Co-administered: Flu
2021-11-21
Registered in v-safe
2021-11-22
Survey response — day 14, dose 3
MedDRA: Deep vein thrombosis — Feeling: Poor · Be unable to work or attend school

Free text: Confirmed DVT diagnosed on 11/19/21

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 21, dose 3
MedDRA: Discomfort, Pulmonary embolism — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Increased discomfort from pulmonary embolism

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-11-30
Call 1 — Left Voicemail
2021-12-06
Survey response — day 28, dose 3
MedDRA: Tinnitus — Feeling: Poor

Free text: Tinnitus, intermittent ear ringing

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — day 35, dose 3
MedDRA: Sinusitis, Tinnitus — Feeling: Poor · 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: Sinus infection. Tinnitus.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Report sent to call center — day 35, 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)
2021-12-16
Call successful
Participant prefers to complete VAERS report online
2021-12-22
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-09
Dose 4 — Moderna
Co-administered: Flu:Other
2023-03-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna	No
2	2021-04-28	Moderna	No
3	2021-11-08	Moderna	Flu
4	2022-09-09	Moderna	Flu:Other

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 10 — day 14, dose 3

2021-11-22

Symptoms: Confirmed DVT diagnosed on 11/19/21

Release 10 — day 21, dose 3

2021-11-29

Symptoms: Increased discomfort from pulmonary embolism

Release 10 — day 28, dose 3

2021-12-06

Symptoms: Tinnitus, intermittent ear ringing

Release 10 — day 35, dose 3

2021-12-15

Symptoms: Sinus infection. Tinnitus.

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	Deep vein thrombosis	·	·	✓
SD	Discomfort	·	·	✓
SD	Pulmonary embolism	·	·	✓
SD	Sinusitis	·	·	✓
SD	Tinnitus	·	·	✓

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