ZQ6-16937-09474 · OpenVSafe

Timeline

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

2021-02-12
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Site: Pain

Free text: Cramping under bottom of rib cage across torso, then it spread up. Lasted 10 minutes and felt better when I leabed back car set and arched back (was a passanger in a car)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-11
Survey response — 6 months, dose 2
MedDRA: Fatigue, Oropharyngeal pain, Pre-existing disease, Upper-airway cough syndrome — Feeling: Fair

Free text: Post nasal drip / sore throatFatigueBut probably allergies and fatigue from demanding job as a (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Dose 3 — Moderna
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-22
Survey response — day 14, dose 3
MedDRA: Pruritus, Rash erythematous, Self-medication, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Itchy skin all over my body. Different red patches / rashew in different areas but itchy from head to toes. (But this could have been from cleaning cat urine soaked items for a student at my school). Zyrtec has been helping. · Healthcare visit (other): Going to message primary care dr. Tomorrow.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-30
Call 1 — Left Voicemail
2022-11-08
Survey response — 12 months, dose 3
MedDRA: Influenza like illness — Feeling: Poor · Be unable to work or attend school

Free text: Currentlybam sock woth flu like symptoms (but got my flu shot last week). Huband tested negative for covid.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2021-11-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-22	Unsuccessful

Free text

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): Cramping under bottom of rib cage across torso, then it spread up. Lasted 10 minutes and felt better when I leabed back car set and arched back (was a passanger in a car)

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Post nasal drip / sore throatFatigueBut probably allergies and fatigue from demanding job as a (b)(6)

redacted (b)(6)

Release 10 — day 14, dose 3

2021-11-22

Symptoms: Itchy skin all over my body. Different red patches / rashew in different areas but itchy from head to toes. (But this could have been from cleaning cat urine soaked items for a student at my school). Zyrtec has been helping.

Healthcare visit (other): Going to message primary care dr. Tomorrow.

Release 12 — 12 months, dose 3

2022-11-08

Symptoms: Currentlybam sock woth flu like symptoms (but got my flu shot last week). Huband tested negative for covid.

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	Unevaluable event	·	·	✓
SD	Fatigue	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Self-medication	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Abdominal pain	✓	✓	✓

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