SXT-88410-52600 · OpenVSafe

Timeline

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

2021-01-15
Dose 1 — Moderna
2021-02-12
Dose 2 — Moderna
2021-11-01
Dose 3 — Moderna
2022-11-03
Dose 4 — Moderna
2022-11-05
Registered in v-safe
2022-11-05
Survey response — days 1–6 daily, dose 4, dependent
MedDRA: Chills — Feeling: Good · Site: Pain

Free text: Chills last night for about 10 minutes- but none today

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Survey response — days 1–6 daily, dose 4, dependent
MedDRA: Injection site pain — Feeling: Good

Free text: Arm is barely sore where shot was given

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Survey response — days 1–6 daily, dose 4, dependent
MedDRA: No adverse event — Feeling: Good

Free text: Feels fine

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — day 7, dose 4, dependent
Feeling: Good · None

Adult check-in
2022-11-17
Health check-in — day 14, dose 4, dependent
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 21, dose 4, dependent
Feeling: Good

Adult check-in
2022-12-04
Health check-in — day 28, dose 4, dependent
Feeling: Good

Adult check-in
2022-12-08
Health check-in — day 35, dose 4, dependent
Feeling: Good

Adult check-in
2022-12-18
Health check-in — day 42, dose 4, dependent
Feeling: Good

Adult check-in
2023-05-04
Health check-in — 6 months, dose 4, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna	No
2	2021-02-12	Moderna	No
3	2021-11-01	Moderna	No
4	2022-11-03	Moderna	No

Free text

Release 12 — days 1–6 daily, dose 4, dependent

2022-11-05

Systemic reaction (other): Chills last night for about 10 minutes- but none today

2022-11-06

Systemic reaction (other): Arm is barely sore where shot was given

2022-11-09

Systemic reaction (other): Feels fine

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
SRO	Chills	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	No adverse event	·	·	✓

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