DXL-42232-58558 · OpenVSafe

Timeline

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Survey response — day 0, dose 1
MedDRA: Eye pain, Headache, Ocular discomfort — Feeling: Good · Site: Pain · Headache

Free text: Eye pain/pressure (could have been related to headache)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Pleurisy, Pre-existing disease, Self-medication — Feeling: Good

Free text: Right upper lung feels like I have pleurisy. Moderately hurts when I breathe in, especially in a laying down position. This started a few days ago. Only had to take ibuprofen once for the pain. Its getting better. history of getting pleurisy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-21
Dose 3 — Moderna
2022-02-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-22
Survey response — 3 months, dose 3
MedDRA: Abortion spontaneous, Uterine dilation and curettage — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Miscarriage at 13wks resulting in a D&C.

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-03-31
Call 1 — Left Voicemail
2022-03-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-10	Moderna
3	2021-12-21	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	priority 2/3
2022-03-22	Successful 2022-03-31	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — day 0, dose 1

2021-01-14

Systemic reaction (other): Eye pain/pressure (could have been related to headache)

Release 2 — day 14, dose 1

2021-01-28

Symptoms: Right upper lung feels like I have pleurisy. Moderately hurts when I breathe in, especially in a laying down position. This started a few days ago. Only had to take ibuprofen once for the pain. Its getting better. history of getting pleurisy.

Release 11 — 3 months, dose 3

2022-03-22

Symptoms: Miscarriage at 13wks resulting in a D&C.

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	Abortion spontaneous	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Pleurisy	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Uterine dilation and curettage	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓

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