YWQ-22518-74517 · OpenVSafe

Timeline

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

2021-01-20
Dose 1 — Moderna
2021-02-12
Dose 2 — Moderna
2021-11-30
Dose 3 — Moderna
Co-administered: Flu
2022-09-27
Registered in v-safe
2022-09-27
Dose 4 — Moderna
2022-09-27
Survey response — day 0, dose 4
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: Arm numbness

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site bruising — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Bruise at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site bruising, Pain in extremity — Feeling: Good · Site: Pain

Free text: Arm pain and bruise from injection site

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site bruising — Feeling: Good · Site: Pain

Free text: Bruise still at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-02
Survey response — days 1–6 daily, dose 4
MedDRA: Haematuria — Feeling: Poor · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Blood in urine

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-03
Survey response — days 1–6 daily, dose 4
MedDRA: Haematuria, Haemorrhage urinary tract — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Blood and clots in urine

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-03
Call 1 — Requested Callback
2022-10-03
Call 1 — Requested Callback
2022-10-04
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-06
Callback requested for
2022-10-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna	No
2	2021-02-12	Moderna	No
3	2021-11-30	Moderna	Flu
4	2022-09-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-10-02	Successful 2022-10-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-03	Successful 2022-10-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 12 — day 0, dose 4

2022-09-27

Systemic reaction (other): Arm numbness

Release 12 — days 1–6 daily, dose 4

2022-09-28

Systemic reaction (other): Bruise at injection site

2022-09-29

Systemic reaction (other): Arm pain and bruise from injection site

2022-09-30

Systemic reaction (other): Bruise still at injection site

2022-10-02

Systemic reaction (other): Blood in urine

2022-10-03

Systemic reaction (other): Blood and clots in urine

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
SRO	Haematuria	·	·	✓
SRO	Haemorrhage urinary tract	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Injection site bruising	·	·	✓
SRO	Pain in extremity	·	·	✓

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