MXZ-12696-36363 · OpenVSafe

Timeline

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

2021-01-09
Dose 1 — Moderna
2021-01-11
Registered in v-safe
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-01-30
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Moderna
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea, Vomiting — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-08-09
Survey response — 6 month, dose 2
MedDRA: Abdominal pain, Presyncope, Supraventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-08-09
Report sent to call center — 6 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-11
Call 1 — Left Voicemail
2022-02-08
Health check-in — 12 month, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-08-09	Unsuccessful

Free text

Release 3

Systemic reaction (other): Severe pain in upper chest like spasms after vomiting. It lasted approximately 30 minutes. I would have called 911 had it not resolved because breathing was painful.

Release 9

Symptoms: Abdominal painVaso vagal with atrial ectopic rhythm

Free-text releases are not linked to a specific 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	Abdominal pain	✓	·	✓
SD	Presyncope	✓	·	✓
SD	Supraventricular extrasystoles	✓	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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