YZH-20439-29590 · OpenVSafe

Timeline

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

2021-01-21
Dose 1 — Moderna
2021-03-03
Registered in v-safe
2021-03-04
Dose 2 — Moderna
2021-03-04
Survey response — day 0, dose 2
MedDRA: Eye pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Eye pain behind left eye. Left arm was used.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Good · Site: Pain

Free text: Eye pain behind the left eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Headache behind left eye.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have CPRS of my right hand including my right arm. Sometimes it involves my left hand as well. I have suffered with this since 12/2015. Without question, the frequency at which the pain becomes debilitating has increased at least 3 fold. · Healthcare visit (other): Seek care from a new health care provider.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Knee arthroplasty — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My knee failed in April and i had it replaced in July

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-03-04
Survey response — 12 months, dose 2
MedDRA: Ear pain, Labyrinthitis, Middle ear effusion, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Inner right ear minor infection with fluid, moderate pain. · Healthcare visit (other): PCP

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-03-04	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-18	Unsuccessful
2022-03-04	Unsuccessful

Free text

Release 5 — day 0, dose 2

2021-03-04

Systemic reaction (other): Eye pain behind left eye. Left arm was used.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Eye pain behind the left eye

2021-03-06

Systemic reaction (other): Headache behind left eye.

Release 5 — day 14, dose 2

2021-03-18

Symptoms: I have CPRS of my right hand including my right arm. Sometimes it involves my left hand as well. I have suffered with this since 12/2015. Without question, the frequency at which the pain becomes debilitating has increased at least 3 fold.

Healthcare visit (other): Seek care from a new health care provider.

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: My knee failed in April and i had it replaced in July

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Inner right ear minor infection with fluid, moderate pain.

Healthcare visit (other): PCP

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	Office visit	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Knee arthroplasty	✓	·	✓
SD	Labyrinthitis	·	·	✓
SD	Middle ear effusion	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓

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