26N-73997-47759 · OpenVSafe

Timeline

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Survey response — day 0, dose 1
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Abdominal pain

Free text: Small rash on left arm below injection at the elbow about one hour after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Cold sweat, Dyspnoea, Fatigue, Pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Very achy and fatigued like i have covid. Shortness of breath and cold sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dyspnoea exertional — Feeling: Good · Fatigue or tiredness

Free text: In the center of my chest having discomfort. When physically moving things having a difficult time breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dyspnoea — Feeling: Good

Free text: Small amount of chest discomfort when conducting physical work feels out of breath and discomfort in the chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Painful respiration — Feeling: Good

Free text: Just light discomfort in the chest and breathing area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Good

Free text: Chest area and shortness of breath when being active.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2022-01-22
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): Small rash on left arm below injection at the elbow about one hour after shot

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Very achy and fatigued like i have covid. Shortness of breath and cold sweats

2021-01-26

Systemic reaction (other): In the center of my chest having discomfort. When physically moving things having a difficult time breathing.

2021-01-27

Systemic reaction (other): Small amount of chest discomfort when conducting physical work feels out of breath and discomfort in the chest.

2021-01-28

Systemic reaction (other): Just light discomfort in the chest and breathing area.

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Chest area and shortness of breath when being active.

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
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Painful respiration	✓	✓	✓
SRO	Rash	✓	✓	✓

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