27M-15890-35136 · OpenVSafe

Timeline

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

2021-04-15
Dose 1 — Moderna
2021-05-17
Dose 2 — Moderna
2021-05-18
Registered in v-safe
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-24
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Medical device pain, Pain in extremity, Varicose vein — Feeling: Fair

Free text: My left leg hurts, I fell there a year or two back, also my breathing on that side can be a struggle, now the veins on that leg like look like they are bigger and coming to the surface. I also have bad dentures on that side its incredibly painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — day 35, dose 2
MedDRA: Constipation, Formication, Joint swelling, Peripheral swelling, Rash macular — Feeling: Poor · Be unable to do your normal daily activities

Free text: Crawling muscle sensations in my left leg. My right foot and ankle has had some swelling. Ive been incredibly constipated and and a spot on the left side of my scalp on the back has been really bad and Ive unfortunately done some picking from a

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Moderna
2	2021-05-17	Moderna

Free text

Release 9 — day 28, dose 2

2021-06-14

Symptoms: My left leg hurts, I fell there a year or two back, also my breathing on that side can be a struggle, now the veins on that leg like look like they are bigger and coming to the surface. I also have bad dentures on that side its incredibly painful.

Release 9 — day 35, dose 2

2021-06-21

Symptoms: Crawling muscle sensations in my left leg. My right foot and ankle has had some swelling. Ive been incredibly constipated and and a spot on the left side of my scalp on the back has been really bad and Ive unfortunately done some picking from a

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	Constipation	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Formication	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Medical device pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash macular	✓	✓	✓
SD	Varicose vein	✓	✓	✓

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