YSH-76926-12562 · OpenVSafe

Timeline

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Janssen/Johnson & Johnson
2021-03-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache, Joint pains

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 21, single dose
MedDRA: Pain — Feeling: Fair

Free text: Soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 28, single dose
MedDRA: Cough, Rhinorrhoea — Feeling: Fair

Free text: Runny nose, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-07
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-06
Survey response — 6 months, dose 1
MedDRA: Fatigue, Headache, Sinus pain — Feeling: Good · Be unable to work or attend school

Free text: Sinus pain, headache, exhaustion

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-08
Dose 2 — Moderna
2022-03-08
Survey response — 12 months, dose 1
MedDRA: Abortion spontaneous, Surgery, Uterine dilation and curettage — Feeling: Good · Be unable to work or attend school, 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: Symptoms: Miscarriage January 2022 · Healthcare visit (other): Surgery for d&c

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Janssen/Johnson & Johnson
2	2021-11-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-08	Unsuccessful

Free text

Release 6 — day 21, single dose

2021-03-29

Symptoms: Soreness

Release 6 — day 28, single dose

2021-04-05

Symptoms: Runny nose, cough

Release 9 — 6 months, dose 1

2021-09-06

Symptoms: Sinus pain, headache, exhaustion

Release 11 — 12 months, dose 1

2022-03-08

Symptoms: Miscarriage January 2022

Healthcare visit (other): Surgery for d&c

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	Surgery	·	·	✓
HCVO	Uterine dilation and curettage	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus pain	✓	·	✓

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