Z7V-55627-96215 · OpenVSafe

Timeline

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

2021-01-04
Dose 1 — Moderna
2021-01-05
Registered in v-safe
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pain in extremity, Sleep disorder, Spondylitis — Feeling: Fair · Site: Pain · Headache

Free text: Arm was very sore last night. Caused me to sleep more uncomfortable, having arthritis is neck. Not sure if that caused the headache vs the vaccine caused the headache. Arm is still sore, but much better than yesterday and last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Constipation — Feeling: Fair · Nausea, Vomiting, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Believe due to eating scallops for dinner. · Healthcare visit (other): Last night after having scallops for dinner. Over ate, while being constipated. Had similiar happen after eating scallops back in June 2020

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Head discomfort, Throat irritation — Feeling: Fair · Headache

Free text: Stuffy head, scratchy throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — day 7, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Headache · Be unable to work

Free text: Head congestion, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 7, dose 1
Be unable to work

1 call case(s)
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-09
Survey response — day 7, dose 2
MedDRA: Fatigue, Pain, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: The injection symptoms above were on 2/2, 2_x0003_ and 2_x0004_. They are fine now. 2/3 had fever, tired and body aches. None now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Call 1 — Left Voicemail
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Call successful
Participant prefers to complete VAERS report online
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-02	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-08	Successful	Participant prefers to complete VAERS report online
2021-01-11	Successful 2021-02-18	Participant prefers to complete VAERS report online

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Arm was very sore last night. Caused me to sleep more uncomfortable, having arthritis is neck. Not sure if that caused the headache vs the vaccine caused the headache. Arm is still sore, but much better than yesterday and last night.

2021-01-08

Systemic reaction (other): Believe due to eating scallops for dinner.

Healthcare visit (other): Last night after having scallops for dinner. Over ate, while being constipated. Had similiar happen after eating scallops back in June 2020

2021-01-10

Systemic reaction (other): Stuffy head, scratchy throat.

Release 1 — day 7, dose 1

2021-01-11

Systemic reaction (other): Head congestion, cough

Release 3 — day 7, dose 2

2021-02-09

Systemic reaction (other): The injection symptoms above were on 2/2, 2_x0003_ and 2_x0004_. They are fine now. 2/3 had fever, tired and body aches. None now

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	Constipation	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nasopharyngitis	○	○	○
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Spondylitis	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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