ZKA-31011-10672 · OpenVSafe

Timeline

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

2021-03-01
Dose 1 — Moderna
2021-03-02
Registered in v-safe
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Gingival pain, Migraine — Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Severe migraine on my right eye and forehead. I also experienced pain in my gum (right upper gum)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — day 7, dose 1
MedDRA: Dehydration — Feeling: Good

Free text: Feeling dehydrated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 14, dose 1
MedDRA: Injection site pain, Injection site pruritus — Feeling: Good

Free text: Light Soreness and itching around the area where I got the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Moderna
2021-03-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersensitivity, Sinus congestion — Feeling: Poor · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Sinus congestion which may be a result of my allergies. I c dont know.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — day 21, dose 2
MedDRA: Pre-existing disease, Sinus congestion — Feeling: Fair

Free text: Heavy sinus congestion. Actually, Ive had this symptoms since my second shot. I didnt report it because I thought it was seasonal allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-29
Survey response — 12 months, dose 2
MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Severe allergies

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-03-29	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Severe migraine on my right eye and forehead. I also experienced pain in my gum (right upper gum)

Release 5 — day 7, dose 1

2021-03-08

Systemic reaction (other): Feeling dehydrated

Release 5 — day 14, dose 1

2021-03-15

Symptoms: Light Soreness and itching around the area where I got the shot

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Sinus congestion which may be a result of my allergies. I c dont know.

Release 7 — day 21, dose 2

2021-04-20

Symptoms: Heavy sinus congestion. Actually, Ive had this symptoms since my second shot. I didnt report it because I thought it was seasonal allergies.

Release 11 — 12 months, dose 2

2022-03-29

Symptoms: Severe allergies

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	Hypersensitivity	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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