XX5-47583-76404 · OpenVSafe

Timeline

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Survey response — 0 day, dose 1
MedDRA: Chills, Disturbance in attention, Dizziness, Feeling cold, Immediate post-injection reaction, Nausea, Peripheral coldness, Pyrexia, Tremor, Vertigo — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-06
Report sent to call center — 0 day, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-01-27
Survey response — 21 day, dose 1
MedDRA: Cough, Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-27
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)
2021-02-03
Dose 2 — Moderna
2021-02-17
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-05-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-06	priority 2/3
2021-01-27	Unsuccessful

Free text

Release 1

Systemic reaction (other): I felt very cold and had chills with shaking. No fever but felt feverish. About 20 minutes later I felt like I was going to pass out. I had nausea and vertigo. Immediately after my vaccine I felt my arm go cold. Then my whole body went cold. I had difficulty concentrating at work. After approximately 3 hours it all seemed to pass.

Release 2

Symptoms: Cough. Dry feels like I have to cough wiry every breath x4 days. Headache.

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	Cough	✓	✓	✓
SD	Headache	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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