Y3H-10815-19033 · OpenVSafe

Timeline

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

2021-02-05
Dose 1 — Moderna
2021-03-11
Dose 2 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Constipation, Dyspepsia, Flatulence — Feeling: Good

Free text: Still have mild issues with digestive tract including gas and constipation. This all started with first shot. Not enough to go to the doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Survey response — 3 months, dose 2
MedDRA: Pain in extremity, Thrombosis — Feeling: Good

Free text: Some pain in my leg where I had a blood clot 5 years ago occurs after working on my feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-09
Survey response — 6 months, dose 2
MedDRA: COVID-19, Fatigue, Hypogeusia, Hyposmia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Contracted COVID on August 4, 2021. As a result I have little taste and smell. And I still get very tired at the end of the day.

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Survey response — 12 months, dose 2
MedDRA: COVID-19, Flatulence, Gastrointestinal disorder, Gastrointestinal pain, Nausea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: For the last 6 months since contracting COVID I n August 2021 I have had issues with my digestive track: gas, nausea, and intestinal pain.

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-11	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-03-11	Unsuccessful

Free text

Release 6 — day 21, dose 2

2021-04-01

Symptoms: Still have mild issues with digestive tract including gas and constipation. This all started with first shot. Not enough to go to the doctor.

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: Some pain in my leg where I had a blood clot 5 years ago occurs after working on my feet.

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Contracted COVID on August 4, 2021. As a result I have little taste and smell. And I still get very tired at the end of the day.

Release 11 — 12 months, dose 2

2022-03-11

Symptoms: For the last 6 months since contracting COVID I n August 2021 I have had issues with my digestive track: gas, nausea, and intestinal pain.

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	Constipation	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Flatulence	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrointestinal pain	·	·	✓
SD	Hypogeusia	·	·	✓
SD	Hyposmia	·	·	✓
SD	Nausea	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Thrombosis	✓	✓	✓

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