BU4-26927-27869 · OpenVSafe

Timeline

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

2021-03-24
Registered in v-safe
2021-06-04
Dose 1 — Moderna
2021-06-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-06-20
Survey response — day 14, dose 1
MedDRA: Dizziness, Herpes zoster — 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: Been in the hospital they diagnosed me with bronchitis with previous before that I had pneumonia and somebody stole my medicine from the(b)(6) if you have any questions give me a call at (b)(6) · Healthcare visit (other): Have to stay in the hospital for 35 days for testing neurology and had to be put on antibiotics I have to go back to the hospital cuz I was sick and couldn't attend the test while I was there was very dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Report sent to call center — day 14, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-04	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 14, dose 1

2021-06-20

Symptoms: Been in the hospital they diagnosed me with bronchitis with previous before that I had pneumonia and somebody stole my medicine from the(b)(6) if you have any questions give me a call at (b)(6)

Healthcare visit (other): Have to stay in the hospital for 35 days for testing neurology and had to be put on antibiotics I have to go back to the hospital cuz I was sick and couldn't attend the test while I was there was very dizzy

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
HCVO	Dizziness	✓	✓	✓
SD	Herpes zoster	✓	✓	✓

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