Z2Z-13218-10506 · OpenVSafe

Timeline

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

2021-03-09
Dose 1 — Moderna
2021-04-06
Dose 2 — Moderna
2021-04-10
Registered in v-safe
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pain — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: My symptoms were much worse the 1st 3 days. I had chills and was achy and in bed for 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Redness · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Dizziness, Loss of consciousness, Office visit — Feeling: Good · 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: Symptoms: I passed out while sitting down at a restaurant about a month ago and was very dizzy off and on for 3 weeks afterwards. · Healthcare visit (other): Doctor visit for blood work and heart exams. All were fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 3 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

1 call case(s)
2021-07-09
Call 1 — Left Voicemail
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Lacunar infarction, Magnetic resonance imaging abnormal, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Aug 30 MRI Dr. (b)(6) showed old slit-like lacunar infarct within the posterior aspect of the left cerebellar hemisphere. · Healthcare visit (other): Saw cardiologist and nuerologist

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-06
Call successful
Completed over the phone
2022-04-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-07-06	Successful	Completed over the phone
2021-10-05	Successful 2021-10-06	Completed over the phone

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): My symptoms were much worse the 1st 3 days. I had chills and was achy and in bed for 2 days

2021-04-11

Systemic reaction (other): Dizziness

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: I passed out while sitting down at a restaurant about a month ago and was very dizzy off and on for 3 weeks afterwards.

Healthcare visit (other): Doctor visit for blood work and heart exams. All were fine.

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: Aug 30 MRI Dr. (b)(6) showed old slit-like lacunar infarct within the posterior aspect of the left cerebellar hemisphere.

Healthcare visit (other): Saw cardiologist and nuerologist

redacted (b)(6)

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	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Lacunar infarction	·	·	✓
SD	Loss of consciousness	✓	✓	✓
SD	Magnetic resonance imaging abnormal	·	·	✓
SD	Office visit	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Pain	✓	✓	✓

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