YKK-11781-82754 · OpenVSafe

Timeline

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

2021-01-07
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-22
Survey response — day 14, dose 1
MedDRA: Office visit, Skin burning sensation — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Mild burning sensation upper right rib cage · Healthcare visit (other): Appointment w/ doctor. Scheduled CT scan for next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Survey response — day 21, dose 1
MedDRA: Back pain, Burning sensation, Musculoskeletal chest pain — Feeling: Fair

Free text: Right upper chest rib area is slightly sore and is rotating to back. I had lung cancer surgery in 2009 where doctor notched out part of rib. I usually do not have any discomfort in that area but last week area had burning sensation and mildly sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Dose 2 — Moderna
2021-02-23
Survey response — day 14, dose 2
MedDRA: Nasal congestion, Pain, Pyrexia — Feeling: Fair

Free text: Mild body aches. Slight fever. Stuffy nose 2 days ago but it is now gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Call 1 — Left Voicemail
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Vision blurred — Feeling: Fair

Free text: Left eye vision is a little cloudy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-23
Dose 3 — Moderna
2021-10-25
Survey response — day 28, dose 3
MedDRA: Burning sensation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Burning sensation on the inside of my thighs

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-26
Call 1 — Left Voicemail
2021-10-28
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-04
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-26
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-24
Survey response — 6 months, dose 3
MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Slight infrequent cough.

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-29
Call 1 — Could Not Reach Participant
2022-03-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-09-25
Survey response — 12 months, dose 3
MedDRA: Nausea — Feeling: Fair

Free text: Slight nausea

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2021-09-23	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-22	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-25	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-24	Successful 2022-03-29	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Mild burning sensation upper right rib cage

Healthcare visit (other): Appointment w/ doctor. Scheduled CT scan for next week.

Release 2 — day 21, dose 1

2021-01-28

Symptoms: Right upper chest rib area is slightly sore and is rotating to back. I had lung cancer surgery in 2009 where doctor notched out part of rib. I usually do not have any discomfort in that area but last week area had burning sensation and mildly sore

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Mild body aches. Slight fever. Stuffy nose 2 days ago but it is now gone.

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Left eye vision is a little cloudy.

Release 10 — day 28, dose 3

2021-10-25

Symptoms: Burning sensation on the inside of my thighs

Release 11 — 6 months, dose 3

2022-03-24

Symptoms: Slight infrequent cough.

Release 12 — 12 months, dose 3

2022-09-25

Symptoms: Slight nausea

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	Back pain	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Cough	·	·	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Skin burning sensation	✓	✓	✓
SD	Vision blurred	✓	✓	✓

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