W3F-18897-89190 · OpenVSafe

Timeline

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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Moderna
2021-04-14
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Chills

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Good · Chills

Free text: Heart racing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — day 14, dose 1
MedDRA: Chills, Dry mouth, Injection site erythema, Injection site pruritus, Injection site urticaria, Urticaria — Feeling: Fair

Free text: Still had chills and dry mouth 4 days ago. Big red patch, itchiness, and later on a big round patch of hives around injection site. Terribly itchy hives all over my body last night, which I havent experienced in the past 2 years.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 21, dose 1
MedDRA: Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Had serious hives, which re-emerged 15 hrs after 10mg of Loratadine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Dose 2 — Moderna
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-05-28
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headache for a day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 21, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Be unable to work

Free text: Consistently elevated heart rate (112 resting, 150bpm walking) for at least one day yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 28, dose 2
MedDRA: Dermatitis allergic, Headache — Feeling: Fair

Free text: Headache + skin allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-25
Dose 3 — Moderna
2022-05-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-05
Call 1 — Could Not Reach Participant
2022-05-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-11
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-14	Moderna
3	2022-03-25	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-05	Successful 2022-05-11	Does not wish to fill out VAERS report

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Heart racing

Release 8 — day 14, dose 1

2021-04-28

Symptoms: Still had chills and dry mouth 4 days ago. Big red patch, itchiness, and later on a big round patch of hives around injection site. Terribly itchy hives all over my body last night, which I havent experienced in the past 2 years.

Release 8 — day 21, dose 1

2021-05-05

Symptoms: Had serious hives, which re-emerged 15 hrs after 10mg of Loratadine.

Release 8 — day 14, dose 2

2021-05-28

Symptoms: Headache for a day.

Release 8 — day 21, dose 2

2021-06-04

Symptoms: Consistently elevated heart rate (112 resting, 150bpm walking) for at least one day yesterday.

Release 9 — day 28, dose 2

2021-06-11

Symptoms: Headache + skin allergies

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	Chills	✓	✓	✓
SD	Dermatitis allergic	✓	✓	✓
SD	Dry mouth	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site urticaria	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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