XWR-11615-09215 · OpenVSafe

Timeline

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — 0 day, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Fever · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — 0 day, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Good · Site: Swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — 28 day, dose 2
MedDRA: Arthritis, Multiple sclerosis, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-19
Survey response — 35 day, dose 2
MedDRA: Arthralgia, Asthenia, Dysstasia, Eye irritation, Gait disturbance, Gingival pain, Headache, Insomnia, Musculoskeletal stiffness, Neck pain, Pain, Pain in jaw, Thermal burns of eye — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-26
Health check-in — 42 day, dose 2
Feeling: Fair

Adult check-in
2021-07-16
Health check-in — 3 month, dose 2
Feeling: Fair

Adult check-in
2021-10-13
Survey response — 6 month, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-04-14
Survey response — 12 month, dose 2
MedDRA: Asthenia, Dysstasia, Gait disturbance, Pre-existing disease, Urinary incontinence — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-04-14
Report sent to call center — 12 month, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-04-14	Successful 2022-04-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7

Systemic reaction (other): My left arm is sore

Systemic reaction (other): Still a little sore on left

Release 8

Symptoms: Nothing to do with vaccination. My body predominantly my right is sore and achy. The pain may be my MS or arthritis I am assuming.

Symptoms: Nothing to do with vaccinations. My right side from head to toe is sore, aches, weak and sometimes very painful. Headache, eyes burn, jaw/gum pains, neck shoulder stiff and sore, difficult to stand, walk, lying to sleep without pain is constant

Release 10

Symptoms: My left shoulder sore and aches. Both legs from knees to ankles hurt with the right more. Pain is tense whether sitting, standing, walking and even sleeping

Release 11

Symptoms: I am extremely weak my right side weakest. I can barely stand and walk at times. My bladder has incontinence. I have MS and arthritis and know I need knees replaced.

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
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Dysstasia	✓	✓	✓
SD	Eye irritation	✓	·	✓
SD	Gait disturbance	✓	✓	✓
SD	Gingival pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Multiple sclerosis	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pain in jaw	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Thermal burns of eye	○	✓	○
SD	Urinary incontinence	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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