ZK3-11194-44913 · OpenVSafe

Timeline

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

2021-01-14
Dose 1 — Moderna
2021-01-19
Registered in v-safe
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation, Haemorrhage — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to work

Free text: Constipation with bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Epistaxis — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nosebleed 4x

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-19
Call 1 — Left Voicemail
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-19	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Constipation with bleeding

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Nosebleed 4x

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
SRO	Constipation	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Haemorrhage	✓	✓	✓

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