Y8C-15721-00197 · OpenVSafe

Timeline

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

2021-02-27
Dose 1 — Moderna
2021-03-27
Dose 2 — Moderna
2021-04-23
Registered in v-safe
2021-04-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-15
Dose 3 — Moderna
2022-03-27
Survey response — 12 months, dose 2
MedDRA: COVID-19, Office visit, Pre-existing disease, Rheumatoid arthritis — 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

Free text: Symptoms: I caught Covid. I have Rheumatoid Arthritis which was triggered by 2nd shot of Moderma vaccine. · Healthcare visit (other): Rheumatologist visits

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-03-29
Call successful
Does not wish to fill out VAERS report
2022-05-16
Survey response — 6 months, dose 3
MedDRA: Office visit, Palpitations — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Palpitations for the past 5 months. · Healthcare visit (other): Visit primary care physician and referred to Cardiologist. Received a stress test with dye

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-17
Call 1 — Left Voicemail
2022-05-17
Call 1 — Left Voicemail
2022-11-15
Survey response — 12 months, dose 3
MedDRA: Blood test abnormal, Office visit, Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rheumatoid arthritis has not improved. Blood work shows imbalanced autoimmune numbers. My rheumatologist has prescribed Humira which is an injectable. I was told by my rheumatologist that the 2nd Covid vaccine triggered my Rheumatoid Arthritis. · Healthcare visit (other): Office visits & blood tests

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-16
Call 2 — Left Voicemail
2022-11-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-27	Moderna
3	2021-11-15	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-27	Successful 2022-03-29	Does not wish to fill out VAERS report
2022-05-16	Unsuccessful
2022-11-15	Unsuccessful

Free text

Release 11 — 12 months, dose 2

2022-03-27

Symptoms: I caught Covid. I have Rheumatoid Arthritis which was triggered by 2nd shot of Moderma vaccine.

Healthcare visit (other): Rheumatologist visits

Release 11 — 6 months, dose 3

2022-05-16

Symptoms: Palpitations for the past 5 months.

Healthcare visit (other): Visit primary care physician and referred to Cardiologist. Received a stress test with dye

Release 12 — 12 months, dose 3

2022-11-15

Symptoms: Rheumatoid arthritis has not improved. Blood work shows imbalanced autoimmune numbers. My rheumatologist has prescribed Humira which is an injectable. I was told by my rheumatologist that the 2nd Covid vaccine triggered my Rheumatoid Arthritis.

Healthcare visit (other): Office visits & blood tests

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	Office visit	·	·	✓
SD	Blood test abnormal	·	·	✓
SD	COVID-19	·	·	✓
SD	Office visit	·	·	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rheumatoid arthritis	·	·	✓

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