2KZ-58304-99440 · OpenVSafe

Timeline

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

2021-02-10
Dose 1 — Moderna
2021-03-10
Dose 2 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Mobility decreased, Pain, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had the vaccine 3/10. That evening had 102 fever, chills, aches, fatigue, and severe arm pain. It is now 3/13. My arm still hurts intensely, especially at night. It is waves of pain and i cant lift my arm past my shoulder. Is this normal? All other side effects are gone, except fatigue, which i assume to be from lack of sleep due to pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-24
Survey response — day 14, dose 2
MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 21, dose 2
MedDRA: Blood pressure increased, Pain in extremity, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: UTI and elevated blood pressure and continued arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-03-12
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid January 2022

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-10	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Had the vaccine 3/10. That evening had 102 fever, chills, aches, fatigue, and severe arm pain. It is now 3/13. My arm still hurts intensely, especially at night. It is waves of pain and i cant lift my arm past my shoulder. Is this normal? All other side effects are gone, except fatigue, which i assume to be from lack of sleep due to pain.

Release 6 — day 14, dose 2

2021-03-24

Symptoms: Arm pain

Release 6 — day 21, dose 2

2021-03-31

Symptoms: UTI and elevated blood pressure and continued arm pain

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: Covid January 2022

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	Blood pressure increased	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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