Z6Y-23852-17767 · OpenVSafe

Timeline

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

2021-03-27
Dose 1 — Moderna
2021-04-28
Dose 2 — Moderna
2021-05-31
Registered in v-safe
2021-05-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 42, dose 2
MedDRA: Headache, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Head ache body ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Uterine contractions abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Contractions and shortness of breath

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-27
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia, Headache — Feeling: Fair

Free text: Head ache lost of taste and smell

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Dose 3 — Moderna
2022-04-30
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cold like symptoms

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-28	Moderna
3	2021-10-28	Moderna	No

Free text

Release 9 — day 42, dose 2

2021-06-09

Symptoms: Head ache body ache

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Contractions and shortness of breath

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: Head ache lost of taste and smell

Release 11 — 6 months, dose 3

2022-04-30

Symptoms: Cold like symptoms

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
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	✓	✓	✓
SD	Uterine contractions abnormal	✓	·	✓

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