K4X-17728-98490 · OpenVSafe

Timeline

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

2021-03-16
Dose 1 — Moderna
2021-03-22
Registered in v-safe
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-09-16
Survey response — 6 months, dose 1
MedDRA: Breast abscess, Mastitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Mastitis, abscess in breast

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-18
Call 1 — Left Voicemail
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stuffy nose and sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-14
Call successful
Does not wish to fill out VAERS report
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Aphonia, Cough, Influenza virus test negative, SARS-CoV-2 test negative, Viral infection — 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 · Outpatient clinic or urgent care clinic visit

Free text: Virus, sore throat, cough, lost voice for 2 weeks. Negative COVID and negative flu tests.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
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 · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — 6 months, dose 1

2021-09-16

Symptoms: Mastitis, abscess in breast

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Stuffy nose and sore throat

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Virus, sore throat, cough, lost voice for 2 weeks. Negative COVID and negative flu tests.

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	Aphonia	·	·	✓
SD	Breast abscess	·	·	✓
SD	Cough	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Mastitis	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Viral infection	·	·	✓

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