ZL7-92121-02426 · OpenVSafe

Timeline

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

2021-04-13
Registered in v-safe
2021-04-13
Dose 1 — Moderna
2021-04-13
Survey response — day 0, dose 1
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Good · Site: Pain

Free text: Throat hurts a bit when drinking water, felt some earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-22
Dose 2 — Moderna
2021-05-22
Survey response — day 0, dose 2
MedDRA: Hyperhidrosis, Malaise, Nausea, Vomiting — Feeling: Good

Free text: I felt sick while I was in line waiting for my 2nd shot (little nausea, sweaty and felt funny in my stomach) but the nurse and I agreed to just go ahead with the 2nd dose.I drove 25 mins home then got sicker within 30 mins of arriving home. I vomited and my nausea got worse. I ended up sick for 3 full day (may 11-13)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-28
Survey response — day 35, dose 2
MedDRA: Dizziness postural, Nausea, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Feel nauseous, light vomiting, dizzy when getting up since yesterday. I could be from I accidentally drank (one sip) of very sour n spoiled milk the morning before!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-24
Survey response — 3 months, dose 2
MedDRA: Headache, Pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good

Free text: Headached, running nose and some mild body ache with unexplainable reasons! So I got in for COVID test with negative result!!(at the end of July)

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-22	Moderna

Free text

Release 7 — day 0, dose 1

2021-04-13

Systemic reaction (other): Throat hurts a bit when drinking water, felt some earache

Release 8 — day 0, dose 2

2021-05-22

Systemic reaction (other): I felt sick while I was in line waiting for my 2nd shot (little nausea, sweaty and felt funny in my stomach) but the nurse and I agreed to just go ahead with the 2nd dose.I drove 25 mins home then got sicker within 30 mins of arriving home. I vomited and my nausea got worse. I ended up sick for 3 full day (may 11-13)

Release 9 — day 35, dose 2

2021-06-28

Symptoms: Feel nauseous, light vomiting, dizzy when getting up since yesterday. I could be from I accidentally drank (one sip) of very sour n spoiled milk the morning before!!!

Release 9 — 3 months, dose 2

2021-08-24

Symptoms: Headached, running nose and some mild body ache with unexplainable reasons! So I got in for COVID test with negative result!!(at the end of July)

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	Dizziness postural	✓	✓	✓
SD	Headache	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Vomiting	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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