AJ6-17543-12589 · OpenVSafe

Timeline

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

2022-08-19
Dose 1 — Moderna
2022-09-19
Dose 2 — Moderna
2022-12-29
Dose 3 — Moderna
2023-03-17
Registered in v-safe
2023-03-30
Survey response — 3 months, dose 3, under 3
MedDRA: Office visit, Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-30
Report sent to call center — 3 months, dose 3, under 3
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-30
Survey response — 6 months, dose 3, under 3
MedDRA: Ear infection, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-08-19	Moderna	No
2	2022-09-19	Moderna	No
3	2022-12-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2023-03-30	Successful 2023-03-31	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

None.

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	Office visit	·	·	✓
SD	Ear infection	·	·	✓
SD	Upper respiratory tract infection	·	·	✓

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