VW9-25382-22672 · OpenVSafe

Timeline

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

2021-11-05
Dose 1 — Moderna
2021-11-15
Registered in v-safe
2021-11-15
Survey response — day 7, dose 1
MedDRA: Contusion, Pain — Feeling: Good · Site: Pain

Free text: Bruise and pain from vaccine still present

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-12-05
Survey response — day 28, dose 1
MedDRA: Chills, Fatigue, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat. Fatigue. Aches. Chills.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Dose 2 — Moderna
2021-12-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Abdominal pain

Adult check-in
2021-12-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-24
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headaches every day.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-06-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-12-10
Survey response — 12 months, dose 2
MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Softness of breath and tight cheat

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-12
Call 1 — Could Not Reach Participant
2022-12-15
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-05	Moderna	No
2	2021-12-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-12-10	Unsuccessful

Free text

Release 10 — day 7, dose 1

2021-11-15

Systemic reaction (other): Bruise and pain from vaccine still present

Release 10 — day 28, dose 1

2021-12-05

Symptoms: Sore throat. Fatigue. Aches. Chills.

Release 10 — days 1–6 daily, dose 2

2021-12-13

Systemic reaction (other): Chest pain

Release 10 — day 14, dose 2

2021-12-24

Symptoms: Headaches every day.

Release 12 — 12 months, dose 2

2022-12-10

Symptoms: Softness of breath and tight cheat

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	Chest discomfort	·	·	✓
SD	Chills	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Contusion	·	·	✓
SRO	Pain	·	·	✓

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