XZ4-27164-98597 · OpenVSafe

Timeline

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

2021-04-08
Dose 1 — Moderna
2021-04-11
Registered in v-safe
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Photopsia, Visual impairment — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-15
Survey response — 7 day, dose 1
MedDRA: Eye disorder, Nausea — Feeling: Good · Headache, Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-22
Survey response — 14 day, dose 1
MedDRA: Unevaluable event — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-01
Health check-in — 21 day, dose 1
Feeling: Fair

Adult check-in
2021-05-21
Survey response — 42 day, dose 1
MedDRA: Dry eye, Malaise, Nasal disorder, Office visit — 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
2021-05-21
Report sent to call center — 42 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)
2022-04-28
Call 1 — Left Voicemail
2022-05-02
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-21	Successful 2022-05-02	Participant prefers to complete VAERS report online

Free text

Release 7

Systemic reaction (other): My eyes have had like electrical flashes or something in front of them yesterday really bad and today somewhat I feel like my vision is bad

Systemic reaction (other): My eyes are blurry yet. I havent had a decent period of rest since last Friday

Systemic reaction (other): A little nausea not much but my eyes bad by 6pm

Symptoms: Eyes

Release 8

Symptoms: I got so sick after my first shot I thought I was going to die I was sicker than I was with the real Covid and I thought I was gonna die then but I have dry eyes and I still have like nasal problems but that came when I got the first Covid when I had cut off by CDC

Healthcare visit (other): Appointment with my personal doctor

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	Dry eye	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nasal disorder	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Eye disorder	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Photopsia	✓	✓	✓
SRO	Vision blurred	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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