ZPK-24921-58063 · OpenVSafe

Timeline

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

2021-01-30
Dose 1 — Moderna
2021-02-16
Registered in v-safe
2021-02-17
Survey response — day 14, dose 1
MedDRA: Injection site discomfort, Injection site hypersensitivity — Feeling: Good

Free text: My left arm where I received the shot, my muscle area feels sensitive. Nothing painful. But a little sore & sensitive when I touch it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Good

Free text: Slight headache lately, but may be due to sinus issues related to weather changes and/or my needing new glasses.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Moderna
2022-02-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-22
Dose 4 — Moderna
2022-06-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-29
Survey response — day 7, dose 4
MedDRA: Cough — Feeling: Fair

Free text: Coughing

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Survey response — day 14, dose 4
MedDRA: Abdominal pain upper, COVID-19, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I was diagnosed with COVID-19 on Saturday. My main symptom was stomach cramps. The healthcare worker said my symptoms were mild. · Healthcare visit (other): Little Clinic at (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-22
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna
3	2021-11-03	Moderna	No
4	2022-06-22	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-06	Successful 2022-07-07	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — day 14, dose 1

2021-02-17

Symptoms: My left arm where I received the shot, my muscle area feels sensitive. Nothing painful. But a little sore & sensitive when I touch it.

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Slight Dizziness

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Slight headache lately, but may be due to sinus issues related to weather changes and/or my needing new glasses.

Release 12 — day 7, dose 4

2022-06-29

Systemic reaction (other): Coughing

Release 12 — day 14, dose 4

2022-07-06

Symptoms: I was diagnosed with COVID-19 on Saturday. My main symptom was stomach cramps. The healthcare worker said my symptoms were mild.

Healthcare visit (other): Little Clinic at (b)(6)

redacted (b)(6)

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	Office visit	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site discomfort	✓	✓	✓
SD	Injection site hypersensitivity	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓

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