XZN-20513-30638 · OpenVSafe

Timeline

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

2021-04-14
Dose 1 — Moderna
2021-05-12
Dose 2 — Moderna
2021-12-15
Dose 3 — Moderna
2021-12-18
Registered in v-safe
2021-12-18
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: A little dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-29
Survey response — day 14, dose 3
MedDRA: Arthralgia, Fatigue — Feeling: Good

Free text: Minor joint pain & still a little fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Survey response — day 21, dose 3
MedDRA: Arthralgia, Pain, Pre-existing disease — Feeling: Good

Free text: Knee joint pain but can't say for sure if it's truly related because I've suffered similar pain off/on for some time. *Though it has flared up more frequently & more intensely recently.

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-02
Dose 4 — Moderna
2022-06-04
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Short spell of dizziness upon waking up

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2022-06-07
Report sent to call center — days 1–6 daily, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-08
Call 1 — Left Voicemail
2022-06-09
Health check-in — day 7, dose 4
Feeling: Good · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-06-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-23
Survey response — day 21, dose 4
MedDRA: Administration site pruritus — Feeling: Good

Free text: While not a new symptom, area where shot was administered itches (even right after bath/shower). Not constant itch; about 3-4 times/week. Short term & temporary symptom. Just thought I'd mention this.

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-06-02
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna	No
2	2021-05-12	Moderna	No
3	2021-12-15	Moderna	No
4	2022-06-02	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-06-07	Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-18

Systemic reaction (other): A little dizziness

Release 10 — day 14, dose 3

2021-12-29

Symptoms: Minor joint pain & still a little fatigue.

Release 10 — day 21, dose 3

2022-01-07

Symptoms: Knee joint pain but can't say for sure if it's truly related because I've suffered similar pain off/on for some time. *Though it has flared up more frequently & more intensely recently.

Release 11 — days 1–6 daily, dose 4

2022-06-04

Systemic reaction (other): Short spell of dizziness upon waking up

Release 12 — day 21, dose 4

2022-06-23

Symptoms: While not a new symptom, area where shot was administered itches (even right after bath/shower). Not constant itch; about 3-4 times/week. Short term & temporary symptom. Just thought I'd mention this.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that 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	Administration site pruritus	·	·	✓
SD	Arthralgia	·	·	✓
SD	Fatigue	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Dizziness	·	·	✓

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