ZAC-10167-49093 · OpenVSafe

Timeline

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

2021-02-06
Dose 1 — Moderna
2021-03-06
Dose 2 — Moderna
2021-12-03
Dose 3 — Moderna
2021-12-05
Registered in v-safe
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good · Site: Pain, Swelling

Free text: Slight congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good · Fatigue or tiredness

Free text: Slight congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — day 28, dose 3
MedDRA: Cough, Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache. Runny nose. Sore throat. Cough. On Tuesday I tested positive for Covid-19.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-05
Survey response — 6 months, dose 3
MedDRA: Cholecystectomy, Cholelithiasis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Removed my gallbladder due to gallstones

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-06-06
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna	No
2	2021-03-06	Moderna	No
3	2021-12-03	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-06-05	Successful 2022-06-06	Not applicable - Accidental Reporting

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-07

Systemic reaction (other): Slight congestion

2021-12-09

Systemic reaction (other): Slight congestion

Release 10 — day 28, dose 3

2021-12-31

Symptoms: Headache. Runny nose. Sore throat. Cough. On Tuesday I tested positive for Covid-19.

Release 11 — 6 months, dose 3

2022-06-05

Symptoms: Removed my gallbladder due to gallstones

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	Cholecystectomy	·	·	✓
SD	Cholelithiasis	·	·	✓
SD	Cough	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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