VES-21207-03740 · OpenVSafe

Timeline

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

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

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

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Moderna
2021-02-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — day 14, dose 2
MedDRA: Urticaria — Feeling: Good

Free text: Hives days 10-14 post vaccine. No severe allergic reaction. Dermatographism days 13-14. Took Zyrtec with some improvement.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 21, dose 2
MedDRA: Mechanical urticaria, Urticaria — Feeling: Good

Free text: Ongoing hives and dermatographism that have continued daily since around 8 days after vaccine #2

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 28, dose 2
MedDRA: Mechanical urticaria, Urticaria — Feeling: Good

Free text: Ongoing hives and dermatographism since about a week after dose 2. Getting a little better over time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 35, dose 2
MedDRA: Mechanical urticaria, Urticaria — Feeling: Good

Free text: Ongoing waxing and waning hives and dermatographism. May be stress related, not vaccine, but started about 1 week after dose 2 of Moderna.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-13
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pregnancy with last menstrual period one week after booster. Suffered first trimester miscarriage. Likely unrelated to vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-13	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-02-13	Successful 2022-02-17	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — day 14, dose 2

2021-02-27

Symptoms: Hives days 10-14 post vaccine. No severe allergic reaction. Dermatographism days 13-14. Took Zyrtec with some improvement.

Release 5 — day 21, dose 2

2021-03-06

Symptoms: Ongoing hives and dermatographism that have continued daily since around 8 days after vaccine #2

Release 5 — day 28, dose 2

2021-03-13

Symptoms: Ongoing hives and dermatographism since about a week after dose 2. Getting a little better over time.

Release 6 — day 35, dose 2

2021-03-20

Symptoms: Ongoing waxing and waning hives and dermatographism. May be stress related, not vaccine, but started about 1 week after dose 2 of Moderna.

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: Pregnancy with last menstrual period one week after booster. Suffered first trimester miscarriage. Likely unrelated to vaccine.

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	Mechanical urticaria	✓	✓	✓
SD	Urticaria	✓	✓	✓

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