XCD-19153-40886 · OpenVSafe

Timeline

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

2021-01-21
Dose 1 — Moderna
2021-02-18
Registered in v-safe
2021-02-18
Dose 2 — Moderna
2021-02-18
Health check-in — 0 day, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-25
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-26
Survey response — 0 day, dose 3
MedDRA: Skin burning sensation — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-27
Survey response — 12 month, dose 3
MedDRA: Dyspnoea, Extrasystoles, Left atrial enlargement, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-10-27
Report sent to call center — 12 month, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna
3	2021-10-26	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-10-27	Unsuccessful

Free text

Release 10

Systemic reaction (other): Skin feels sort of scalded

Release 12

Symptoms: Left atrium enlargement, ectopic beats, breathlessness

Healthcare visit (other): Cardiologist

Free-text releases are not linked to a specific 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
HCVO	Office visit	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Extrasystoles	·	·	✓
SD	Left atrial enlargement	·	·	✓
SRO	Skin burning sensation	·	·	✓

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