NXQ-70363-26668 · OpenVSafe

Timeline

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

2020-12-31
Dose 1 — Moderna
2021-01-26
Registered in v-safe
2021-01-26
Survey response — day 21, dose 1
MedDRA: Thermal burns of eye, Tremor — Feeling: Poor · Be unable to do your normal daily activities

Free text: Yes I have body shaking I dont eat food that much the way it was I have some burn tire my eye red and other

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-02-13
Dose 2 — Moderna
2021-02-13
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction, Pain, Pruritus, Somnolence, Swelling, Vomiting — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Since I got the vaccine I have a reaction so much I feel sleepy I have a pain itchy swelling vomit so I dont know Im still feel that way the same way

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Muscle or body aches, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work

Adult check-in
2021-03-27
Survey response — day 42, dose 2
MedDRA: Dizziness, Headache, Impaired work ability, Pain, Vomiting — Feeling: Poor · Be unable to work

Free text: Im not able to work since February 15 until now I dont even return to work yet let me in my eye I have a little pain I have a vomit headache dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-02-13	Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Yes I have body shaking I dont eat food that much the way it was I have some burn tire my eye red and other

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Since I got the vaccine I have a reaction so much I feel sleepy I have a pain itchy swelling vomit so I dont know Im still feel that way the same way

Release 6 — day 42, dose 2

2021-03-27

Symptoms: Im not able to work since February 15 until now I dont even return to work yet let me in my eye I have a little pain I have a vomit headache dizzy

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	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Thermal burns of eye	✓	✓	✓
SD	Tremor	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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