22B-62078-01202 · OpenVSafe

Timeline

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

2021-02-19
Registered in v-safe
2021-02-19
Dose 1 — Moderna
2021-02-19
Survey response — day 0, dose 1
MedDRA: Body temperature increased, Dizziness — Feeling: Good · Site: Pain · Nausea

Free text: Lightheaded, body hot about 30 mins after vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Survey response — day 14, dose 1
MedDRA: Erythema, Injection site rash, Myalgia, Rash pruritic, Skin warm — Feeling: Good

Free text: Very red itchy rash about 2.5 inches in diameter developed at the injection site. Additionally rash was warm to touch. New muscle soreness occurred around the circumference of the rash, towards shoulder and the underside of my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Moderna
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-08-17
Dose 3 — Moderna
2021-09-22
Survey response — 6 months, dose 2
MedDRA: Chest pain, Dizziness, Dyspnoea, Hypopnoea, Respiratory rate increased — Feeling: Good · Be unable to do your normal daily activities

Free text: Severe chest pains, shortness of breath, rapid and shallow breathing, dizziness 24 hrs after receiving booster vaccinationexperienced symptoms for about 2 days following booster

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-22	Moderna
3	2021-08-17	Moderna	No

Free text

Release 4 — day 0, dose 1

2021-02-19

Systemic reaction (other): Lightheaded, body hot about 30 mins after vaccination

Release 5 — day 14, dose 1

2021-03-05

Symptoms: Very red itchy rash about 2.5 inches in diameter developed at the injection site. Additionally rash was warm to touch. New muscle soreness occurred around the circumference of the rash, towards shoulder and the underside of my arm

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: Severe chest pains, shortness of breath, rapid and shallow breathing, dizziness 24 hrs after receiving booster vaccinationexperienced symptoms for about 2 days following booster

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
SD	Chest pain	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Erythema	✓	✓	✓
SD	Hypopnoea	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Respiratory rate increased	·	·	✓
SD	Skin warm	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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