ZE3-17855-34188 · OpenVSafe

Timeline

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

2020-12-22
Dose 1 — Moderna
2020-12-23
Registered in v-safe
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure decreased, Dizziness, Hypotension, Medical counselling, Pre-existing disease, Presyncope — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Lightheadedness and hypotension but may be from an autoimmune flare up I sometimes have. BP 64/42 at lowest. Almost passed out. They sent me home after I stabilized and canceled our patients. · Healthcare visit (other): I'm an RN at a cardiovascular clinic so had my two directors, manager and a cardiologist all help me on-site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-23
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2020-12-31
Survey response — day 7, dose 1
MedDRA: Fatigue, Injection site warmth, Mobility decreased, Pain, Sleep disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: The night after the shot the pain woke me up and I couldn't lift my arm more than three inches for several hours. It's taken several days to be pain free. The site was also warm for a few days. I've been very fatigued but also just moved a few days ago so have a lot going on. Mild aches intermittently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Call 1 — Left Voicemail
2021-01-19
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2020-12-23	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-23

Systemic reaction (other): Lightheadedness and hypotension but may be from an autoimmune flare up I sometimes have. BP 64/42 at lowest. Almost passed out. They sent me home after I stabilized and canceled our patients.

Healthcare visit (other): I'm an RN at a cardiovascular clinic so had my two directors, manager and a cardiologist all help me on-site

Release 1 — day 7, dose 1

2020-12-31

Systemic reaction (other): The night after the shot the pain woke me up and I couldn't lift my arm more than three inches for several hours. It's taken several days to be pain free. The site was also warm for a few days. I've been very fatigued but also just moved a few days ago so have a lot going on. Mild aches intermittently.

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	Medical counselling	✓	✓	✓
HCVO	Medical observation	○	○	○
SRO	Blood pressure decreased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypotension	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Presyncope	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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