ZQU-19287-57526 · OpenVSafe

Timeline

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

2021-04-15
Dose 1 — Moderna
2021-05-16
Registered in v-safe
2021-05-16
Dose 2 — Moderna
2021-05-16
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-18
Survey response — 6 months, dose 2
MedDRA: Cough, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Cough, fever, congestion, body aches · Healthcare visit (other): Pharmacy COVID test

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2021-11-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Moderna
2	2021-05-16	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-11-18	Unsuccessful

Free text

Release 10 — 6 months, dose 2

2021-11-18

Symptoms: Cough, fever, congestion, body aches

Healthcare visit (other): Pharmacy COVID test

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	SARS-CoV-2 test	·	·	✓
SD	Cough	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓

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