J86-31220-06905 · OpenVSafe

Timeline

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-09
Survey response — day 0, dose 1
MedDRA: Psychotic disorder — Feeling: Poor · Fatigue or tiredness · Be unable to work

Free text: Psychosis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Foggy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · Headache, Nausea, Diarrhea

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Nausea, Diarrhea

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-02-18
Survey response — day 7, dose 1
MedDRA: Medical counselling — Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional

Free text: Consulted my coworkers (a nurse and doctor)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-06
Call 1 — Left Voicemail
2022-02-09
Survey response — 12 months, dose 1
MedDRA: Inflammation, Nausea, Shunt malfunction — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Nausea, inflammation, VP shunt failure

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-09

Systemic reaction (other): Psychosis

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Foggy brain

Release 4 — day 7, dose 1

2021-02-18

Healthcare visit (other): Consulted my coworkers (a nurse and doctor)

Release 11 — 12 months, dose 1

2022-02-09

Symptoms: Nausea, inflammation, VP shunt failure

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	Medical counselling	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Nausea	·	·	✓
SD	Shunt malfunction	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Psychotic disorder	✓	✓	✓

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