YTS-15748-27485 · OpenVSafe

Timeline

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

2021-01-14
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Fair · Fatigue or tiredness

Free text: Blood glucose levels have been elevated since time of injection and have required excess insulin every hour via basal rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Myalgia, Nausea, Pyrexia, SARS-CoV-2 test — Feeling: Poor · Be unable to work, 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: Fever, headache, nausea, muscle pain, fatigue · Healthcare visit (other): Awaiting results on COVID 19 test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache, Myalgia, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, 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: 5 days of low grade fever, extreme fatigue, muscle pain, headache. Negative COVID rapid and PCR.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Dose 2 — Moderna
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: I am a type 1 diabetic and blood sugars have been elevated to between 200-300 and have required 10% extra basal rate per hour

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call 1 — Left Voicemail
2021-06-09
Callback requested for
06:00PM ET
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Anxiety, Asthenia, COVID-19, Depression — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Infected with Omicron. Had debilitating anxiety and depression which lasted 3-4 weeks.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-28	Unsuccessful
2021-02-04	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Blood glucose levels have been elevated since time of injection and have required excess insulin every hour via basal rate

Release 3 — day 14, dose 1

2021-01-28

Symptoms: Fever, headache, nausea, muscle pain, fatigue

Healthcare visit (other): Awaiting results on COVID 19 test

Release 3 — day 21, dose 1

2021-02-04

Symptoms: 5 days of low grade fever, extreme fatigue, muscle pain, headache. Negative COVID rapid and PCR.

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): I am a type 1 diabetic and blood sugars have been elevated to between 200-300 and have required 10% extra basal rate per hour

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Infected with Omicron. Had debilitating anxiety and depression which lasted 3-4 weeks.

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	SARS-CoV-2 test	✓	✓	✓
SD	Anxiety	·	·	✓
SD	Asthenia	·	·	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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