HNV-21402-86574 · OpenVSafe

Timeline

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

2020-12-26
Registered in v-safe
2020-12-26
Dose 1 — Moderna
2020-12-26
Survey response — day 0, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Nausea

Adult check-in
2021-01-02
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Itching · Joint pains

Adult check-in
2021-01-09
Survey response — day 14, dose 1
MedDRA: Arthralgia, Myalgia, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe body aches, muscle and joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-23
Dose 2 — Moderna
2021-02-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-13
Survey response — day 21, dose 2
MedDRA: Ear pain, Lymphadenopathy, Oropharyngeal pain, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in neck, fever, body aches, earache, sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-27
Survey response — day 35, dose 2
MedDRA: Fatigue, Lethargy, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Vomiting, without fever, lethargic, extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-24
Survey response — 6 months, dose 2
MedDRA: Hypertension, Infertility — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: High blood pressure, infertility

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Call 1 — Left Voicemail
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous, Hypertension, Infertility, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Chronic cough. Two miscarriages, infertility. High blood pressure. Chronic fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Moderna
2	2021-01-23	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2020-12-26	priority 2/3
2021-01-09	priority 2/3
2021-07-24	Unsuccessful
2022-01-25	Unsuccessful

Free text

Release 1 — day 0, dose 1

2020-12-26

Systemic reaction (other): Brain fog

Release 1 — day 14, dose 1

2021-01-09

Symptoms: Severe body aches, muscle and joint pain.

Release 4 — day 21, dose 2

2021-02-13

Symptoms: Swollen lymph nodes in neck, fever, body aches, earache, sore throat.

Release 4 — day 35, dose 2

2021-02-27

Symptoms: Vomiting, without fever, lethargic, extreme fatigue.

Release 9 — 6 months, dose 2

2021-07-24

Symptoms: High blood pressure, infertility

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Chronic cough. Two miscarriages, infertility. High blood pressure. Chronic fatigue.

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	Arthralgia	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypertension	✓	·	✓
SD	Infertility	✓	·	✓
SD	Lethargy	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓

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