EX6-90532-78715 · OpenVSafe

Timeline

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Random dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Dizziness, Hyperhidrosis — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness and after shivering 8hrs i sweated head to toe for 4hrs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Nausea

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Good

Free text: Tested positive for covid 19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-07-01
Survey response — 6 months, dose 1
MedDRA: Dyspnoea — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Difficulty breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — 6 months, 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)
2021-07-04
Call 1 — Left Voicemail
2021-12-30
Survey response — 12 months, dose 1
MedDRA: Cholecystectomy, Ectopic pregnancy — Feeling: Fair · 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: Etopic pregnancy in sept and gallbladder removal in nov.

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Report sent to call center — 12 months, 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-01-03
Call 1 — Left Voicemail
2022-01-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2020-12-30	priority 2/3
2021-07-01	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-30	Successful 2022-01-06	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): Random dizziness

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Dizziness and after shivering 8hrs i sweated head to toe for 4hrs

2021-01-04

Systemic reaction (other): Tested positive for covid 19

Release 9 — 6 months, dose 1

2021-07-01

Symptoms: Difficulty breathing.

Release 10 — 12 months, dose 1

2021-12-30

Symptoms: Etopic pregnancy in sept and gallbladder removal in nov.

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	Cholecystectomy	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ectopic pregnancy	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓

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