YZ8-15888-94984 · OpenVSafe

Timeline

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Sensory disturbance — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Late day yesterday when looking down I got very dizzyand had a very odd sensation from my head to my calf on my left side. Not sure if related to shot but never had that before. Been slightly dizzy of and on today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Dizziness, Injection site mass, Injection site pruritus — Feeling: Good

Free text: I had 1 day where i looked down and was very dizzy, day 6 or 7. Then day 8 the site was itchy and lump under skin. Today all is good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Chills, Headache, Pain, Pyrexia — Feeling: Good · Site: Pain, Swelling · Be unable to work, Be unable to do your normal daily activities

Free text: 10 hrs after 2nd inj,I had headache,12hrs, chills, fever,bodyaches Severe for solid 8hrs, weak, body aches, headache fever of and on next 24hrs. Day 4 now feel mostly ok

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-11
Survey response — day 7, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Good · Headache, Fatigue or tiredness

Free text: Very stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Arthritis, Diverticulitis, Pre-existing disease — Feeling: Fair · 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: Increased arthritis pain and new diagnosis of diverticulitis.

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 12 months, dose 2
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)
2022-02-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-02-04	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Late day yesterday when looking down I got very dizzyand had a very odd sensation from my head to my calf on my left side. Not sure if related to shot but never had that before. Been slightly dizzy of and on today.

Release 2 — day 14, dose 1

2021-01-21

Symptoms: I had 1 day where i looked down and was very dizzy, day 6 or 7. Then day 8 the site was itchy and lump under skin. Today all is good.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): 10 hrs after 2nd inj,I had headache,12hrs, chills, fever,bodyaches Severe for solid 8hrs, weak, body aches, headache fever of and on next 24hrs. Day 4 now feel mostly ok

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Very stiff neck

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Increased arthritis pain and new diagnosis of diverticulitis.

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	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Diverticulitis	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Injection site mass	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sensory disturbance	✓	✓	✓

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