Z3C-15061-86761 · OpenVSafe

Timeline

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

2021-01-21
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Fatigue — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Mild chest pain starting around 1800 hours 1/21/21 progressively worse by 2400. Admitted to ED. All labs and cardiac tests normal. Doctor felt most likely a side effect from vaccine. Treated with IV ketorolac and discharged. Felt worn out all day today but chest pains subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Oesophageal spasm, Office visit — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Went to primary and dX esophageal spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Emergency care — Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Severe chest pains · Healthcare visit (other): Chest pains servers. ER doctor thinks they are vaccine related but not 100 sure. Very painful no other underlying issues. All cardiac tests normal. Labs normal. CT scan was great

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-22	Unsuccessful
2021-01-27	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Mild chest pain starting around 1800 hours 1/21/21 progressively worse by 2400. Admitted to ED. All labs and cardiac tests normal. Doctor felt most likely a side effect from vaccine. Treated with IV ketorolac and discharged. Felt worn out all day today but chest pains subsided.

2021-01-26

Systemic reaction (other): Went to primary and dX esophageal spasms

2021-01-27

Systemic reaction (other): Severe chest pains

Healthcare visit (other): Chest pains servers. ER doctor thinks they are vaccine related but not 100 sure. Very painful no other underlying issues. All cardiac tests normal. Labs normal. CT scan was great

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	Chest pain	✓	✓	✓
HCVO	Emergency care	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Oesophageal spasm	✓	✓	✓
SRO	Office visit	✓	✓	✓

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