K5T-31259-06259 · OpenVSafe

Timeline

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

2022-06-27
Dose 1 — Moderna
2022-06-28
Registered in v-safe
2022-06-28
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Body temperature increased, Feeling hot — Feeling: Good

Free text: Elevated temp of 99.9 about 8 hours after but came back down and no complaints, just felt warm. Still totally active.

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Had a rash on lower back and arm last night that seems to have gone away already.

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-02
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-04
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-11
Survey response — day 14, dose 1, dependent
MedDRA: Ear infection, SARS-CoV-2 test negative — Feeling: Poor · 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: Ear infections so probably unrelated but want to represent his actual health currently. Covid negative.

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Report sent to call center — day 14, dose 1, dependent
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-03
Survey response — day 35, dose 1, dependent
MedDRA: Office visit, 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

Free text: Caught Covid before 2nd vaccination. High fever as a result. Tested at pediatrician. Would not consider an adverse effect from the 1st vaccine. Only wish we could have had the 2nd one before this happened.

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Report sent to call center — day 35, dose 1, dependent
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)
2022-08-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-11	Successful 2022-07-12	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-03	Successful 2022-08-04	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 12 — days 1–6 daily, dose 1, dependent

2022-06-28

Systemic reaction (other): Elevated temp of 99.9 about 8 hours after but came back down and no complaints, just felt warm. Still totally active.

2022-06-30

Systemic reaction (other): Had a rash on lower back and arm last night that seems to have gone away already.

Release 12 — day 14, dose 1, dependent

2022-07-11

Symptoms: Ear infections so probably unrelated but want to represent his actual health currently. Covid negative.

Release 12 — day 35, dose 1, dependent

2022-08-03

Symptoms: Caught Covid before 2nd vaccination. High fever as a result. Tested at pediatrician. Would not consider an adverse effect from the 1st vaccine. Only wish we could have had the 2nd one before this happened.

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	Ear infection	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Rash	·	·	✓

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