2MV-13439-42148 · OpenVSafe

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2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Moderna
2021-04-07
Survey response — day 0, dose 1
MedDRA: Injection site pain, Injection site swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: The outside of my upper left arm around and below the injection site is very tender and slightly swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Bedridden, Dyspnoea, Insomnia, Limb discomfort, Muscle discomfort, Pain, Swelling — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My left side from neck to waist, especially the chest area has been swollen, very sore (can't lie on it), tough to breathe since getting my shot yesterday. Spent the entire day in bed and had difficulty sleeping last night. My right elbow, upper arm muscle (on the outside) and lower back arm aren't very happy either. The abdominal pain is intermittent. I hear the 2nd shot gives tougher 4-day side effects. If that's the case, I'll need to prepare for visits as i live alone and am 67. .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna

Free text

Release 7 — day 0, dose 1

2021-04-07

Systemic reaction (other): The outside of my upper left arm around and below the injection site is very tender and slightly swollen

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): My left side from neck to waist, especially the chest area has been swollen, very sore (can't lie on it), tough to breathe since getting my shot yesterday. Spent the entire day in bed and had difficulty sleeping last night. My right elbow, upper arm muscle (on the outside) and lower back arm aren't very happy either. The abdominal pain is intermittent. I hear the 2nd shot gives tougher 4-day side effects. If that's the case, I'll need to prepare for visits as i live alone and am 67. .

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	Abdominal pain	✓	✓	✓
SRO	Bedridden	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Muscle discomfort	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Swelling	✓	✓	✓

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