Y8M-10610-82211 · OpenVSafe

Timeline

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

2021-02-24
Dose 1 — Moderna
2021-02-27
Registered in v-safe
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus disorder, Toothache — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Even my teeth hurt like sinuses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Insomnia, Pain in extremity, Self-medication — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in the arm I received vaccine was very intense last night & had difficulty sleeping. Took 2 Tylenol but only eased the pain after 2 hrs. Today pain in very very small. Went to my shoulder, under arm also . Praying it is not a side effect of the 1 st vaccine because if it is I cannot take the 2 shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 7, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Site: Pain

Free text: Arm & shoulder hurt more each day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-04-29
Survey response — day 35, dose 2
MedDRA: Cardiac valve disease, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have been diagnosed with a leaky heart valve · Healthcare visit (other): Went to a Cardiologist in his office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-24
Survey response — 3 months, dose 2
MedDRA: Cardiac valve disease, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Leaky heart valve · Healthcare visit (other): Heart Dr at his office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Call successful
Participant prefers to complete VAERS report online
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Office visit, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach · Healthcare visit (other): Primary Care

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-25	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-29	Successful	Participant prefers to complete VAERS report online
2021-06-24	Successful 2021-06-29	Participant prefers to complete VAERS report online
2021-09-23	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Even my teeth hurt like sinuses

2021-03-01

Systemic reaction (other): Pain in the arm I received vaccine was very intense last night & had difficulty sleeping. Took 2 Tylenol but only eased the pain after 2 hrs. Today pain in very very small. Went to my shoulder, under arm also . Praying it is not a side effect of the 1 st vaccine because if it is I cannot take the 2 shot

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): No

Release 6 — day 7, dose 2

2021-04-01

Systemic reaction (other): Arm & shoulder hurt more each day

Release 8 — day 35, dose 2

2021-04-29

Symptoms: I have been diagnosed with a leaky heart valve

Healthcare visit (other): Went to a Cardiologist in his office

Release 9 — 3 months, dose 2

2021-06-24

Symptoms: Leaky heart valve

Healthcare visit (other): Heart Dr at his office

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: Stomach

Healthcare visit (other): Primary Care

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	Cardiac valve disease	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Toothache	✓	✓	✓

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