Z38-16808-88502 · OpenVSafe

Timeline

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-12
Survey response — day 0, dose 1
MedDRA: Dyspnoea, Neurological symptom, Skin burning sensation, Urticaria — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Hives, shortness or breath, increased neurological sx, skin burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Dizziness, Dyspnoea, Neuropathy peripheral, Pruritus, Urticaria — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath, dizziness, itchiness, burning all over, small hives, neuropathy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Itchiness all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Swollen lymph nodes in armpit/chest side of shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-13
Health check-in — 3 months, dose 1
Feeling: Poor

Adult check-in
2021-09-10
Survey response — 6 months, dose 1
MedDRA: Fatigue, Loss of personal independence in daily activities, Office visit, Palpitations — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heart racing continues and fatigue easily. To answer the next question Still do my work, I have to. And have regular health care appts Normal activities are difficult

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Left Voicemail
2022-03-12
Survey response — 12 months, dose 1
MedDRA: Abdominal pain upper, Heart rate irregular, Unevaluable event — Feeling: Poor · 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: Severe stomach pain, irregular heart rate. · Healthcare visit (other): EGD, Echocardiogram, new meds

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Report sent to call center — 12 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-14
Call 1 — Could Not Reach Participant
2022-03-17
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-12	Unsuccessful
2021-09-10	Unsuccessful
2022-03-12	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-12

Systemic reaction (other): Hives, shortness or breath, increased neurological sx, skin burning

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Shortness of breath, dizziness, itchiness, burning all over, small hives, neuropathy

2021-03-14

Systemic reaction (other): Itchiness all over

2021-03-15

Systemic reaction (other): Swollen lymph nodes in armpit/chest side of shot

Release 9 — 6 months, dose 1

2021-09-10

Symptoms: Heart racing continues and fatigue easily. To answer the next question Still do my work, I have to. And have regular health care appts Normal activities are difficult

Release 11 — 12 months, dose 1

2022-03-12

Symptoms: Severe stomach pain, irregular heart rate.

Healthcare visit (other): EGD, Echocardiogram, new meds

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	Unevaluable event	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Fatigue	·	·	✓
SD	Heart rate irregular	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Office visit	·	·	✓
SD	Palpitations	·	·	✓
SRO	Burning sensation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neurological symptom	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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