ZG4-14356-27923 · OpenVSafe

Timeline

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

2021-02-08
Dose 1 — Moderna
2021-03-09
Dose 2 — Moderna
2021-03-11
Registered in v-safe
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Feeling abnormal, Headache, Pain, Pain in extremity, Self-medication — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Yesterday I was tired aching all over, headache and brain fogged. Took 2 tylonal and felt much better. The day I got the shot it started with pain in my arm, then body aches so tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Eye irritation — Feeling: Good · Site: Pain

Free text: My eyes are bothering me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Eye infection, Infection, Oropharyngeal pain, Vision blurred — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea

Free text: Sore throat, cough, nose feels infected, my eye is bothering me blurry when reading feels infected Feels like I need an antibiotic but Im afraid it will make my vaccine work less

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Diabetes mellitus, Pre-existing disease, Type 1 diabetes mellitus — Feeling: Good

Free text: I am a type 1 diabetic. My blood sugar has been running higher than before I got my first shot. After the second shot it really went up. I have been able to get it down by giving more insulin. Just wanted you know it could be studied.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-03-09
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Had covid dec 26 till the end of January.

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-03-09	Successful 2022-03-14	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Yesterday I was tired aching all over, headache and brain fogged. Took 2 tylonal and felt much better. The day I got the shot it started with pain in my arm, then body aches so tired.

2021-03-12

Systemic reaction (other): My eyes are bothering me

2021-03-15

Systemic reaction (other): Sore throat, cough, nose feels infected, my eye is bothering me blurry when reading feels infected Feels like I need an antibiotic but Im afraid it will make my vaccine work less

Release 6 — day 14, dose 2

2021-03-23

Symptoms: I am a type 1 diabetic. My blood sugar has been running higher than before I got my first shot. After the second shot it really went up. I have been able to get it down by giving more insulin. Just wanted you know it could be studied.

Release 11 — 12 months, dose 2

2022-03-09

Symptoms: Had covid dec 26 till the end of January.

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	Condition aggravated	○	✓	○
SD	COVID-19	·	·	✓
SD	Diabetes mellitus	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Type 1 diabetes mellitus	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Eye infection	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Infection	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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