ZFK-28210-34950 · OpenVSafe

Timeline

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

2021-03-18
Dose 1 — Moderna
2021-04-18
Registered in v-safe
2021-04-18
Dose 2 — Moderna
2021-04-18
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Chills, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Fall, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Myofashial pain. Fibromyalgia, complex regional pain syndrome, CML LEUKEMIA. I STILL FEEL UNEASY ON my feet and actually fell yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass — Feeling: Good · Site: Swelling · Fever · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: I have a lump in my Right armpit, it doesnt hurt and about the size of a 50 cent piece. It is not the same arm that was injected

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-23
Survey response — day 35, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Rash on my face which is spreading. It doesnt hurt or itch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-17
Survey response — 6 months, dose 2
MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: A rash on my face. Its been spreading slowly and ive had it quite a while. · Healthcare visit (other): In person dr visit. Referred to get a picture of the rash to try to figure what it is.

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-21
Call 1 — Left Voicemail
2022-04-20
Survey response — 12 months, dose 2
MedDRA: Office visit, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Possible 2nd cancer symptoms. · Healthcare visit (other): Hematology visit

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-21
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-18	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-10-17	Successful	Completed over the phone
2022-04-20	Successful 2022-04-21	Completed over the phone

Free text

Release 7 — day 0, dose 2

2021-04-18

Systemic reaction (other): Dizziness

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Myofashial pain. Fibromyalgia, complex regional pain syndrome, CML LEUKEMIA. I STILL FEEL UNEASY ON my feet and actually fell yesterday.

2021-04-23

Systemic reaction (other): I have a lump in my Right armpit, it doesnt hurt and about the size of a 50 cent piece. It is not the same arm that was injected

Release 8 — day 35, dose 2

2021-05-23

Symptoms: Rash on my face which is spreading. It doesnt hurt or itch.

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: A rash on my face. Its been spreading slowly and ive had it quite a while.

Healthcare visit (other): In person dr visit. Referred to get a picture of the rash to try to figure what it is.

Release 11 — 12 months, dose 2

2022-04-20

Symptoms: Possible 2nd cancer symptoms.

Healthcare visit (other): Hematology visit

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	Office visit	·	·	✓
HCVO	Rash	·	·	✓
SD	Rash	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Axillary mass	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fall	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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