XVK-24078-02847 · OpenVSafe

Timeline

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

2021-03-10
Dose 1 — Moderna
2021-03-15
Registered in v-safe
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Hospitalisation — Feeling: Fair · Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Health check-in — 7 day, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — 14 day, dose 1
Feeling: Fair

Adult check-in
2021-03-31
Survey response — 21 day, dose 1
MedDRA: Arthralgia, Chondrocalcinosis, Hospitalisation, Joint swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-31
Report sent to call center — 21 day, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Dose 2 — Moderna
2021-04-21
Survey response — 14 day, dose 2
MedDRA: Abdominal pain, Chondrocalcinosis, Cyst, Faeces hard, Gallbladder enlargement, Hospitalisation, Inflammation, Pain, Pre-existing disease, Ultrasound liver abnormal — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-21
Report sent to call center — 14 day, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Survey response — 21 day, dose 2
MedDRA: Blood pressure abnormal, Rehabilitation therapy, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-24
Report sent to call center — 21 day, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — 35 day, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — 42 day, dose 2
Feeling: Fair

Adult check-in
2021-07-02
Health check-in — 3 month, dose 2
Feeling: Fair

Adult check-in
2021-10-05
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-12-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-02	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-15	Unsuccessful
2021-03-31	Unsuccessful
2021-04-21	Unsuccessful
2021-04-24	Unsuccessful

Free text

Release 5

Systemic reaction (other): Was hospitalized on 3/11

Healthcare visit (other): Since 3/12

Release 6

Symptoms: Developed pseudo-gout. Swollen right knee and left elbow with severe pain (unable to walk) I have been hospitalized since 3/26.

Release 7

Symptoms: Abdominal pain. Rt upper abdomen. Did X-rays (negative) did ultrasound. Showed cysts in liver (have liver cancer and received embolization on 3/26) and gallbladder slightly enlarged. Also stool has been very solid - not normal for me. Resolved pain cut off by CDC

Healthcare visit (other): I am in rehab for hospitalization caused by pseudo gout - inflammation due to immune response.

Symptoms: Difficulty with blood pressure

Healthcare visit (other): In rehab

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	Adverse reaction	✓	✓	✓
HCVO	Chondrocalcinosis	✓	✓	✓
HCVO	Hospitalisation	✓	✓	✓
HCVO	Inflammation	✓	✓	✓
HCVO	Rehabilitation therapy	✓	·	✓
HCVO	Unevaluable event	○	✓	○
SD	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Blood pressure abnormal	✓	✓	✓
SD	Chondrocalcinosis	✓	✓	✓
SD	Cyst	✓	✓	✓
SD	Faeces hard	✓	✓	✓
SD	Gallbladder enlargement	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Ultrasound liver abnormal	✓	✓	✓
SRO	Hospitalisation	✓	✓	✓

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