U4R-26951-13949 · OpenVSafe

Timeline

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

2021-01-13
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Headache, Nasal congestion — Feeling: Fair · Headache

Free text: Allergy like symptoms. Stuffy nose, ear aches and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair · Headache

Free text: Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Rhinorrhoea — Feeling: Fair

Free text: Runny nose and ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Good

Free text: Cough

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Allergy like symptoms. Stuffy nose, ear aches and headache

2021-01-18

Systemic reaction (other): Ear ache

2021-01-19

Systemic reaction (other): Runny nose and ear ache

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Cough

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	Cough	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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