GBW-11811-35204 · OpenVSafe

Timeline

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

2021-01-06
Dose 1 — Moderna
2021-01-08
Registered in v-safe
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Anaphylactic shock — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Anaphylactic shock

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
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)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Swelling — Feeling: Fair · Fever · Headache · Be unable to work, 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: Sore throat from the swelling the last 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Headache

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches daily. Almost migraine strength

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-16
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-02-17
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-07-07
Survey response — 6 months, dose 1
MedDRA: Supraventricular tachycardia — Feeling: Good · Be unable to work or attend school

Free text: SVT once

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-01-06
Survey response — 12 months, dose 1
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna

Call center

6 call center cases

5 successful · 1 unsuccessful

VAERS report filed, before or during a call: 6

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Anaphylactic shock

2021-01-10

Systemic reaction (other): Sore throat from the swelling the last 3 days

2021-01-11

Systemic reaction (other): Fatigue

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Headaches daily. Almost migraine strength

Release 2 — day 21, dose 1

2021-01-27

Symptoms: Headaches

Release 9 — 6 months, dose 1

2021-07-07

Symptoms: SVT once

Release 10 — 12 months, dose 1

2022-01-06

Symptoms: Covid

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	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Supraventricular tachycardia	✓	✓	✓
SRO	Anaphylactic shock	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Swelling	✓	✓	✓

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