29M-12431-79474 · OpenVSafe

Timeline

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

2021-03-13
Dose 1 — Moderna
2021-03-15
Registered in v-safe
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-11
Dose 2 — Moderna
2021-04-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Chest pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Chest pain and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lower back hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Itching rash in hair line and abdominal area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-10
Survey response — 6 months, dose 2
MedDRA: Dry skin, Office visit, Rash, Rash pruritic, Skin irritation — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I got a rash on my stomach, scalp and breast and cant get rid if it. I mentioned a few chech ins vack about the rash. Dry itching irritating rash. · Healthcare visit (other): Doctor office

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

1 call case(s)
2021-11-22
Call successful
Participant prefers to complete VAERS report online
2022-04-11
Survey response — 12 months, dose 2
MedDRA: Impaired work ability, Malaise, Pruritus, Reaction to previous exposure to any vaccine — Feeling: Good · Be unable to work or attend school

Free text: Itching patches on my abdomen that dont go away. Have had 2 shots and a booster and all made me sick that i couldnt work the next day. Will not take another one

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-11	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Sore throat

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Chest pain and back pain

2021-04-13

Systemic reaction (other): Lower back hurts

2021-04-14

Systemic reaction (other): Itching rash in hair line and abdominal area

Release 10 — 6 months, dose 2

2021-10-10

Symptoms: I got a rash on my stomach, scalp and breast and cant get rid if it. I mentioned a few chech ins vack about the rash. Dry itching irritating rash.

Healthcare visit (other): Doctor office

Release 11 — 12 months, dose 2

2022-04-11

Symptoms: Itching patches on my abdomen that dont go away. Have had 2 shots and a booster and all made me sick that i couldnt work the next day. Will not take another one

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	Office visit	·	·	✓
SD	Dry skin	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Malaise	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Skin irritation	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

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