Y7A-23147-31077 · OpenVSafe

Timeline

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

2021-01-19
Dose 1 — Moderna
2021-02-16
Dose 2 — Moderna
2021-11-05
Dose 3 — Moderna
2021-11-06
Registered in v-safe
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Dose 4 — Moderna
2022-04-28
Survey response — day 0, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Chills, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2022-05-03
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-05
Health check-in — day 7, dose 4
Feeling: Fair · Abdominal pain · Be unable to work or attend school

Adult check-in
2022-05-12
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-26
Survey response — day 28, dose 4
MedDRA: Abdominal pain, Emergency care, Headache, Medical counselling, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Due to two emergency surgeries I have abdominal pain and headaches · Healthcare visit (other): Home visits

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-05-27
Call 1 — Left Voicemail
2022-05-27
Call 1 — Left Voicemail
2022-06-02
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Survey response — day 42, dose 4
MedDRA: Abdominal abscess, Hospitalisation, Postpartum state — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: I have three large abdominal abscesses post partum. I was Re admitted to the hospital today.

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Report sent to call center — day 42, 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-06-10
Call 2 — Requested Callback
2022-06-10
Call 1 — Left Voicemail
2022-07-28
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna	No
2	2021-02-16	Moderna	No
3	2021-11-05	Moderna	No
4	2022-04-28	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-03	Successful 2022-05-04	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-26	Unsuccessful
2022-06-09	Unsuccessful

Free text

Release 11 — day 0, dose 4

2022-04-28

Systemic reaction (other): No

Release 11 — day 28, dose 4

2022-05-26

Symptoms: Due to two emergency surgeries I have abdominal pain and headaches

Healthcare visit (other): Home visits

Release 12 — day 42, dose 4

2022-06-09

Symptoms: I have three large abdominal abscesses post partum. I was Re admitted to the hospital today.

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	Medical counselling	·	·	✓
SD	Abdominal abscess	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Emergency care	·	·	✓
SD	Headache	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Postpartum state	·	·	✓
SD	Surgery	·	·	✓
SRO	No adverse event	·	·	✓

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