YXR-29723-69513 · OpenVSafe

Timeline

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

2021-01-09
Dose 1 — Moderna
2021-01-12
Registered in v-safe
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Headache, Immediate post-injection reaction, Medical observation, Paraesthesia — Feeling: Good · Site: Pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): 1) W/in 15 mins after the vaccine, I experienced bilateral tingling of the eyes. 2) After 30 mins of having the vaccine, I experienced intermittent chest heaviness and slight headaches. · Healthcare visit (other): NPs and Nurses on site monitored and gave me 25 mg of Benadryl.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Fever · Nausea · Be unable to do your normal daily activities

Free text: Intermittent chest heaviness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia — Feeling: Good · Fever

Free text: Feverish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Survey response — day 14, dose 1
MedDRA: Chest discomfort — Feeling: Fair

Free text: Intermittent chest heaviness is what Im concerned

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-02-20
Survey response — day 42, dose 1
MedDRA: Abdominal pain lower, Back pain, Pre-existing disease, Vaginal haemorrhage — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lower abd pain, lower back pain (I think this is due to my kidney stones), light spotting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Call 1 — Left Voicemail
2021-04-29
Dose 2 — Moderna
2021-07-12
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-07-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-04-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-12	Unsuccessful
2021-01-14	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): 1) W/in 15 mins after the vaccine, I experienced bilateral tingling of the eyes. 2) After 30 mins of having the vaccine, I experienced intermittent chest heaviness and slight headaches.

Healthcare visit (other): NPs and Nurses on site monitored and gave me 25 mg of Benadryl.

2021-01-14

Systemic reaction (other): Intermittent chest heaviness

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Feverish

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Intermittent chest heaviness is what Im concerned

Release 4 — day 42, dose 1

2021-02-20

Symptoms: Lower abd pain, lower back pain (I think this is due to my kidney stones), light spotting

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	Medical observation	✓	✓	✓
SD	Abdominal pain lower	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vaginal haemorrhage	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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