2UL-77108-70236 · OpenVSafe

Timeline

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

2021-03-04
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Survey response — day 7, dose 1
MedDRA: Injection site rash — Feeling: Fair · Site: Redness, Swelling, Itching

Free text: Depends how you define immediate area around the incision site. This rash is 1 & 1/2 inches thick in a circle around the incision site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 1
MedDRA: Pruritus, Rash, Self-medication, Swelling — Feeling: Good

Free text: Rash on arm got worse, covering more area and got redder and bumpy and itchy. Mostly went away with benedryl pill and topical.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I woke up today with Nausea, diarrhea and vomiting. But I think I may have food poisoning. Ate a store bought chicken last night that may have been in the fridge too long.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 28, dose 1
MedDRA: Food poisoning — Feeling: Fair

Free text: Still recovering from food poisoning. Declined 2nd vaccination. Will reschedule once I feel better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Dose 2 — Moderna
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-07	Moderna

Free text

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): Depends how you define immediate area around the incision site. This rash is 1 & 1/2 inches thick in a circle around the incision site.

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Rash on arm got worse, covering more area and got redder and bumpy and itchy. Mostly went away with benedryl pill and topical.

Release 6 — day 21, dose 1

2021-03-25

Symptoms: I woke up today with Nausea, diarrhea and vomiting. But I think I may have food poisoning. Ate a store bought chicken last night that may have been in the fridge too long.

Release 6 — day 28, dose 1

2021-04-01

Symptoms: Still recovering from food poisoning. Declined 2nd vaccination. Will reschedule once I feel better.

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): No

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	Diarrhoea	✓	✓	✓
SD	Food poisoning	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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