YBH-13577-60021 · OpenVSafe

Timeline

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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Taste disorder — Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Diarrhea, Abdominal pain

Free text: Couldnt sleep. Things taste slightly off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Abnormal dreams, Paraesthesia oral — Feeling: Good · Fever

Free text: Crazy dreams and forgot to say that on the first day my lips were tingling as if they were swelling but didnt look swollen at any point. Everything has been very minor and less than any other vaccines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Pfizer-BioNTech
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 42, dose 2
MedDRA: Sinusitis — Feeling: Fair · 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: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-14
Call 1 — Left Voicemail
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 35, dose 3
MedDRA: Cough, Headache, Labyrinthitis, Oropharyngeal pain, Pain, Sinusitis, Tympanic membrane perforation — Feeling: Poor · 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

Free text: Unrelated inner ear infection with ruptured ear drum, sinus infection, cough, headache, sore throat, aches. Two Negative PCR tests and one negative rapid test. Symptoms began 9/18.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 35, dose 3
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 · 1 call case(s)
2021-10-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-10-04
Call 1 — Left Voicemail
2021-10-05
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-21
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-08-23
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-19	Pfizer-BioNTech
3	2021-08-23	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-02	Unsuccessful
2021-09-30	Successful 2021-10-05	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Couldnt sleep. Things taste slightly off.

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Crazy dreams and forgot to say that on the first day my lips were tingling as if they were swelling but didnt look swollen at any point. Everything has been very minor and less than any other vaccines.

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Sinus infection

Release 9 — day 35, dose 3

2021-09-30

Symptoms: Unrelated inner ear infection with ruptured ear drum, sinus infection, cough, headache, sore throat, aches. Two Negative PCR tests and one negative rapid test. Symptoms began 9/18.

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
SD	Cough	·	·	✓
SD	Headache	·	·	✓
SD	Labyrinthitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Tympanic membrane perforation	·	·	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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