Y6M-20415-18152 · OpenVSafe

Timeline

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

2020-12-28
Dose 1 — Moderna
2021-01-25
Dose 2 — Moderna
2021-01-28
Registered in v-safe
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Dyspnoea, Feeling abnormal, Oxygen saturation decreased, Taste disorder, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Shortness of breath, small drops in oxygen, brain fog, loss of appetite and change in taste, I am also recovering from recent clinical covid diagnosis, the second vaccine shot seemed to dramatically worsen my symptoms · Healthcare visit (other): I will continue to follow up with my providers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, 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)
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath; racing pulse but Im also recovering from covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Call 1 — Left Voicemail
2021-06-10
Call successful
Does not wish to fill out VAERS report
2021-10-27
Dose 3 — Moderna
2021-10-27
Survey response — day 0, dose 3
MedDRA: Limb discomfort — Feeling: Fair · Site: Pain

Free text: Pressure spot or muscle in forearm

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lack of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Survey response — day 14, dose 3
MedDRA: Ageusia, Brain fog, COVID-19, Cough, Insomnia, Mood altered — Feeling: Fair

Free text: Aggravation of post-covid symptoms: loss of taste; brain fog; insomnia; mood lability; coughing, etc.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-10-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-28	Successful 2021-06-10	Does not wish to fill out VAERS report

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Shortness of breath, small drops in oxygen, brain fog, loss of appetite and change in taste, I am also recovering from recent clinical covid diagnosis, the second vaccine shot seemed to dramatically worsen my symptoms

Healthcare visit (other): I will continue to follow up with my providers.

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Shortness of breath; racing pulse but Im also recovering from covid

Release 10 — day 0, dose 3

2021-10-27

Systemic reaction (other): Pressure spot or muscle in forearm

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Lack of appetite

Release 10 — day 14, dose 3

2021-11-10

Symptoms: Aggravation of post-covid symptoms: loss of taste; brain fog; insomnia; mood lability; coughing, etc.

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	Unevaluable event	✓	✓	✓
SD	Ageusia	·	·	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Insomnia	·	·	✓
SD	Mood altered	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Limb discomfort	·	·	✓
SRO	Oxygen saturation decreased	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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