Y46-23863-59308 · OpenVSafe

Timeline

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

2021-03-23
Dose 1 — Moderna
2021-04-20
Dose 2 — Moderna
2021-04-29
Registered in v-safe
2021-04-29
Survey response — day 7, dose 2
MedDRA: Cerebral haemorrhage, Emergency care, Haemorrhage intracranial, Loss of consciousness, Suture insertion, Syncope — Feeling: Poor · Fever · Headache, Muscle or body aches, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Had to get staples in head, passed out helicopter to (b)(6) in Fl · Healthcare visit (other): Had to be flown to hospital , staples in head, bleeding in brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 7, dose 2
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)
2021-05-04
Survey response — day 14, dose 2
MedDRA: Dizziness, Fatigue, Headache, Pruritus, Rash, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, extreme tiredness, dizziness, itching, rash, sleep patterns chaotic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue, Headache, Irritability — 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

Free text: Dizziness, light headed, headaches, extreme tiredness, very irritable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 21, dose 2
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)
2021-05-18
Survey response — day 28, dose 2
MedDRA: Dizziness, Headache, Office visit — Feeling: Fair · 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

Free text: Symptoms: Headaches, light-headed, dizzy when I lay down, or get up. · Healthcare visit (other): Met with my general care Doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 28, dose 2
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)
2021-05-25
Survey response — day 35, dose 2
MedDRA: Dizziness, Loss of personal independence in daily activities — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme dizziness, light headed. Unable to drive or do normal activities.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 42, dose 2
MedDRA: Dizziness — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme dizziness, when I turn my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-01-04
Call 1 — Left Voicemail
2022-01-05
Call 2 — Requested Callback
2022-01-06
Callback requested for
03:00PM ET
2022-01-07
Call 3 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-20	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-29	Unsuccessful
2021-05-11	Unsuccessful
2021-05-18	Unsuccessful

Free text

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Had to get staples in head, passed out helicopter to (b)(6) in Fl

Healthcare visit (other): Had to be flown to hospital , staples in head, bleeding in brain

redacted (b)(6)

Release 8 — day 14, dose 2

2021-05-04

Symptoms: Headaches, extreme tiredness, dizziness, itching, rash, sleep patterns chaotic.

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Dizziness, light headed, headaches, extreme tiredness, very irritable.

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Headaches, light-headed, dizzy when I lay down, or get up.

Healthcare visit (other): Met with my general care Doctor

Release 8 — day 35, dose 2

2021-05-25

Symptoms: Extreme dizziness, light headed. Unable to drive or do normal activities.

Release 8 — day 42, dose 2

2021-06-01

Symptoms: Extreme dizziness, when I turn my head.

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
HCVO	Cerebral haemorrhage	✓	·	✓
HCVO	Emergency care	✓	·	✓
HCVO	Haemorrhage intracranial	○	✓	○
HCVO	Office visit	✓	✓	✓
HCVO	Suture insertion	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Irritability	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Emergency care	✓	·	✓
SRO	Haemorrhage intracranial	○	✓	○
SRO	Loss of consciousness	✓	·	✓
SRO	Suture insertion	✓	·	✓
SRO	Syncope	○	✓	○

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