ZN6-23705-26621 · OpenVSafe

Timeline

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

2021-05-24
Dose 1 — Moderna
2021-05-26
Registered in v-safe
2021-05-26
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Dyspnoea, Ear discomfort, Ear pain, Hypoacusis, Neck pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Difficulty breathing, back and neck pain, left internal ear pain, clogged hearing left side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Ear pain, Neck pain — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · 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: Severe pain I. Left ear, neck and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work

Free text: Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Cough, Dyspnoea, Medical counselling — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Systemic reaction (other): Chest pain, difficulty breathing deep and cough · Healthcare visit (other): Dr called in Lab work with chest X-ray

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Fatigue, Muscular weakness — Feeling: Poor · 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: Continued shortness of breath, fatigues, muscle weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Report sent to call center — day 21, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-06-22
Call successful
Participant prefers to complete VAERS report online
2021-06-28
Health check-in — day 35, dose 1
Feeling: Poor

Adult check-in
2022-05-24
Survey response — 12 months, dose 1
MedDRA: Dyspnoea — Feeling: Poor · 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, Hospitalization

Free text: Still having breathing troubles.

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Report sent to call center — 12 months, dose 1
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 · Hospitalization · 1 call case(s)
2022-05-25
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-24	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-27	Successful	Participant prefers to complete VAERS report online
2021-05-29	Successful	Participant prefers to complete VAERS report online
2021-06-14	Successful 2021-06-22	Participant prefers to complete VAERS report online
2022-05-24	Successful 2022-05-25	Does not wish to fill out VAERS report

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-26

Systemic reaction (other): Difficulty breathing, back and neck pain, left internal ear pain, clogged hearing left side.

2021-05-27

Systemic reaction (other): Severe pain I. Left ear, neck and back

2021-05-28

Systemic reaction (other): Constipation

2021-05-29

Systemic reaction (other): Chest pain, difficulty breathing deep and cough

Healthcare visit (other): Dr called in Lab work with chest X-ray

Release 9 — day 21, dose 1

2021-06-14

Symptoms: Continued shortness of breath, fatigues, muscle weakness

Release 11 — 12 months, dose 1

2022-05-24

Symptoms: Still having breathing troubles.

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
HCVO	Medical counselling	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Hypoacusis	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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