YLC-12219-01471 · OpenVSafe

Timeline

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

2021-02-27
Dose 1 — Moderna
2021-03-01
Registered in v-safe
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Bone pain, Cough, Dyspnoea, Mobility decreased, Musculoskeletal stiffness, Tongue discomfort, Uterine pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Cough, couldn't breathe,lost mobility from waist down,bones hurted terribly I couldn't open my fingers ,on the top of my tongue it felt like when you eat hot food and it burns it, where the skin falls off.thats what happened.i wasn't thirsty but I forced myself to drink at least 3 bottles of water 16.9 fl. This started Saturday 27 2021. Painful stomach pain in uterus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Abdominal pain

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-06
Survey response — day 7, dose 1
MedDRA: Pain — Feeling: Good · Muscle or body aches

Free text: This body pain comes and goes since I took the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-08-28
Survey response — 6 months, dose 1
MedDRA: Cough, Pyrexia — Feeling: Fair

Free text: Mild fever , light cough

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Cough, couldn't breathe,lost mobility from waist down,bones hurted terribly I couldn't open my fingers ,on the top of my tongue it felt like when you eat hot food and it burns it, where the skin falls off.thats what happened.i wasn't thirsty but I forced myself to drink at least 3 bottles of water 16.9 fl. This started Saturday 27 2021. Painful stomach pain in uterus.

Release 5 — day 7, dose 1

2021-03-06

Systemic reaction (other): This body pain comes and goes since I took the shot

Release 9 — 6 months, dose 1

2021-08-28

Symptoms: Mild fever , light cough

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	Pyrexia	✓	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Tongue discomfort	✓	✓	✓
SRO	Uterine pain	✓	✓	✓

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