YEC-41905-87651 · OpenVSafe

Timeline

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

2021-01-23
Dose 1 — Moderna
2021-02-20
Dose 2 — Moderna
2021-09-19
Registered in v-safe
2021-10-20
Dose 3 — Moderna
2022-02-20
Survey response — 12 months, dose 2
MedDRA: COVID-19, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Exhaustion from COVID.

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Dose 4 — Moderna
2022-04-14
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-04-21
Survey response — day 14, dose 4
MedDRA: Brain fog, Fatigue, Oxygen saturation decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: 1. Low oxygenization levels 2. Intermittent fatigue 3. Some specific limited brain outages for up to three days, but usually for one-half day (I am following directions from physicians and physical therapist to cope.)

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-22
Call 1 — Left Voicemail
2022-04-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-05
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-12
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-07
Survey response — 3 months, dose 4
MedDRA: Oedema peripheral, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Edema in both legs -- greater than experienced previously. · Healthcare visit (other): visited my primary care physician

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-08
Call 2 — Left Voicemail
2022-07-08
Call 1 — Left Voicemail
2022-07-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-08
Survey response — 6 months, dose 4
MedDRA: Immunisation reaction — Feeling: Good

Free text: Bad reaction to bivalent booster shot. Got over it in 4 days. To

MedDRA releases: 2024-11 · check-in free text available
2023-04-09
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna	No
2	2021-02-20	Moderna	No
3	2021-10-20	Moderna	No
4	2022-04-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-21	Successful 2022-04-22	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-07	Successful 2022-07-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 11 — 12 months, dose 2

2022-02-20

Symptoms: Exhaustion from COVID.

Release 11 — day 14, dose 4

2022-04-21

Symptoms: 1. Low oxygenization levels 2. Intermittent fatigue 3. Some specific limited brain outages for up to three days, but usually for one-half day (I am following directions from physicians and physical therapist to cope.)

Release 12 — 3 months, dose 4

2022-07-07

Symptoms: Edema in both legs -- greater than experienced previously.

Healthcare visit (other): visited my primary care physician

Release 12 — 6 months, dose 4

2022-10-08

Symptoms: Bad reaction to bivalent booster shot. Got over it in 4 days. To

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	Brain fog	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Immunisation reaction	·	·	✓
SD	Oedema peripheral	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pre-existing disease	·	·	✓

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