Z3Q-15354-06522 · OpenVSafe

Timeline

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

2021-01-28
Dose 1 — Moderna
2021-01-31
Registered in v-safe
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-11
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired most of time breathe is short

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Nodule, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: Very weak shortness of breath and a knot near the groning aea feet & hands swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 28, dose 1
MedDRA: Hospitalisation, Lymphadenopathy, Rash — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Hospitalized due to severe rash on both arms and hands lymph nodes Expanded in my Expanded in my In my stomach · Healthcare visit (other): Rash on both arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — day 28, 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)
2021-03-13
Survey response — day 42, dose 1
MedDRA: Lymphadenopathy, Rash, Surgery — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Severe rash over body Expanded lymph nodes in the stomach & groning area surgical procedure done on yesterday in the groning (2) one was removed.This information was reported no response received

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 42, 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)
2021-12-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-27	Unsuccessful
2021-03-13	Unsuccessful

Free text

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Tired most of time breathe is short

Release 4 — day 21, dose 1

2021-02-18

Symptoms: Very weak shortness of breath and a knot near the groning aea feet & hands swollen

Release 4 — day 28, dose 1

2021-02-27

Symptoms: Hospitalized due to severe rash on both arms and hands lymph nodes Expanded in my Expanded in my In my stomach

Healthcare visit (other): Rash on both arms

Release 5 — day 42, dose 1

2021-03-13

Symptoms: Severe rash over body Expanded lymph nodes in the stomach & groning area surgical procedure done on yesterday in the groning (2) one was removed.This information was reported no response received

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	Rash	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Surgery	✓	✓	✓

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