ZX8-28129-83799 · OpenVSafe

Timeline

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

2021-03-03
Dose 1 — Moderna
2021-03-30
Registered in v-safe
2021-03-30
Survey response — day 21, dose 1
MedDRA: Acupuncture, Muscle spasms, Office visit, Rash, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Back spasms unknown etiology for 4 days - started 5 days after shot Minor Rash on neck ( itchy)- looked like bites · Healthcare visit (other): Chiropractor and acupunture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Dose 2 — Moderna
2021-03-31
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Not today ( day of shot)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Hordeolum, Inflammation — Feeling: Fair · 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: Had two very inflamed styes in the same eye within 2 months

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call 1 — Left Voicemail
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Hordeolum, Medical counselling, Oral herpes — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have gotten several outbreaks of mouth cold sores ( taking valtrex) and have just resolved recent stye in eye - I have had 4 styes in my eyes since covid shots and only two before that in my entire life.Health status worse because of these issues . · Healthcare visit (other): Renew script for valtrex and called optometrist who ordered erythromycin for stye

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Back spasms unknown etiology for 4 days - started 5 days after shot Minor Rash on neck ( itchy)- looked like bites

Healthcare visit (other): Chiropractor and acupunture

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Not today ( day of shot)

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Had two very inflamed styes in the same eye within 2 months

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: I have gotten several outbreaks of mouth cold sores ( taking valtrex) and have just resolved recent stye in eye - I have had 4 styes in my eyes since covid shots and only two before that in my entire life.Health status worse because of these issues . cut off by CDC

Healthcare visit (other): Renew script for valtrex and called optometrist who ordered erythromycin for stye

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	Acupuncture	✓	✓	✓
HCVO	Hordeolum	·	·	✓
HCVO	Medical counselling	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Hordeolum	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Oral herpes	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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