ZH4-11979-22610 · OpenVSafe

Timeline

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

2021-01-21
Dose 1 — Moderna
2021-02-19
Dose 2 — Moderna
2021-02-22
Registered in v-safe
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Some moderate lower back pain near kidneys.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches

Free text: Still some stiffness in my neck, but not bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-11
Dose 3 — Moderna
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Survey response — 3 months, dose 3
MedDRA: Food poisoning, Gastroenteritis viral — Feeling: Good · Be unable to work or attend school

Free text: Food poisoning or stomach flu

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Survey response — 6 months, dose 3
MedDRA: Bronchitis, Chest pain, Dyspnoea, Emergency care, Influenza virus test negative, Malaise, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Was sick for about 3 weeks. Symptoms consistent with CoVID 19. Included an ER visit due to shortness of breath and chest pain. Conclusion was accuse Bronchitis caused by a virus. Tested neg for CoVID 3 times, neg for Flu. No idea what virus I had.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-18
Call 1 — Left Voicemail
2022-08-11
Survey response — 12 months, dose 3
MedDRA: Brain fog, COVID-19, Cough, Headache, Illness, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Brain fog, cough, headache, fever, illness related to COVID

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-12
Call 2 — Left Voicemail
2022-08-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-19	Moderna
3	2021-08-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-11	Unsuccessful
2022-08-11	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Some moderate lower back pain near kidneys.

2021-02-24

Systemic reaction (other): Still some stiffness in my neck, but not bad.

Release 10 — 3 months, dose 3

2021-11-12

Symptoms: Food poisoning or stomach flu

Release 11 — 6 months, dose 3

2022-02-11

Symptoms: Was sick for about 3 weeks. Symptoms consistent with CoVID 19. Included an ER visit due to shortness of breath and chest pain. Conclusion was accuse Bronchitis caused by a virus. Tested neg for CoVID 3 times, neg for Flu. No idea what virus I had. cut off by CDC

Release 12 — 12 months, dose 3

2022-08-11

Symptoms: Brain fog, cough, headache, fever, illness related to COVID

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	Brain fog	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Food poisoning	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	·	·	✓
SD	Illness	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Malaise	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Viral infection	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓

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