YCB-13269-68758 · OpenVSafe

Timeline

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Moderna
2021-04-09
Survey response — day 0, dose 1
MedDRA: Abdominal pain upper — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Stomach ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: My asthma is acting up. Needed extra inhaler

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — day 14, dose 1
MedDRA: Bursitis, Injection site rash — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: On 8th day after vaccine I developed a rash at injection site and bursitis type pain that locked up my shoulder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Moderna
2021-05-14
Survey response — day 7, dose 2
MedDRA: Asthenia, Chills, Malaise, Pain, Pyrexia — Feeling: Good · Site: Pain · Joint pains · Be unable to work, Be unable to do your normal daily activities

Free text: I was sick for two days after I got injection. 102 fever, chills, severe aches and weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 14, dose 2
MedDRA: Pain in extremity, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heart palpitations and left foot pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 28, dose 2
MedDRA: Asthma, Cough, Pre-existing disease, Rhinorrhoea, Throat irritation — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Scratchy throat runny nose and cough with worsening asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-06
Survey response — 3 months, dose 2
MedDRA: Gait disturbance — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have developed a possible autoimmune disorder and having trouble walking

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
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)
2021-08-17
Call 1 — Could Not Reach Participant
2022-05-07
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna
2	2021-05-07	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-23	Unsuccessful
2021-08-06	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-09

Systemic reaction (other): Stomach ache

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): My asthma is acting up. Needed extra inhaler

Release 7 — day 14, dose 1

2021-04-23

Symptoms: On 8th day after vaccine I developed a rash at injection site and bursitis type pain that locked up my shoulder.

Release 8 — day 7, dose 2

2021-05-14

Systemic reaction (other): I was sick for two days after I got injection. 102 fever, chills, severe aches and weakness

Release 8 — day 14, dose 2

2021-05-23

Symptoms: Heart palpitations and left foot pain

Release 8 — day 28, dose 2

2021-06-04

Symptoms: Scratchy throat runny nose and cough with worsening asthma

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: I have developed a possible autoimmune disorder and having trouble walking

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	Asthma	✓	✓	✓
SD	Bursitis	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Gait disturbance	✓	·	✓
SD	Injection site rash	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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