QAM-29496-17682 · OpenVSafe

Timeline

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
2021-03-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-09
Dose 2 — Moderna
Co-administered: Flu
2021-09-11
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-09-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-07
Dose 3 — Moderna
2021-10-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-14
Survey response — day 35, dose 2
MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Miscarriage

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — day 35, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-20
Call 1 — Left Voicemail
2021-10-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-02
Call 2 — Left Voicemail
2021-12-09
Survey response — 3 months, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-07
Survey response — 12 months, dose 3
MedDRA: COVID-19, Deep vein thrombosis, Pulmonary embolism — 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, Emergency room or emergency department visit, Hospitalization

Free text: Covid, Pulmonary embolism and DVT

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Report sent to call center — 12 months, dose 3
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-10-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-11
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	2021-03-13	Janssen/Johnson & Johnson
2	2021-09-09	Moderna	Flu
3	2021-10-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-14	Successful 2022-10-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-07	Successful 2022-10-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 10 — day 35, dose 2

2021-10-14

Symptoms: Miscarriage

Release 10 — 3 months, dose 2

2021-12-09

Symptoms: Pregnancy

Release 12 — 12 months, dose 3

2022-10-07

Symptoms: Covid, Pulmonary embolism and DVT

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	Abortion spontaneous	·	·	✓
SD	COVID-19	·	·	✓
SD	Deep vein thrombosis	·	·	✓
SD	Pregnancy	·	·	✓
SD	Pulmonary embolism	·	·	✓

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