2VS-14330-22525 · OpenVSafe

Timeline

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

2021-02-13
Registered in v-safe
2021-02-13
Dose 1 — Moderna
2021-02-13
Survey response — day 0, dose 1
MedDRA: Migraine — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: Migraine triggered by vax

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site vesicles — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Very large blister like eruptions on arm below injection site. Blisters grew up to 2x2 And 1/2 deep. I went to ED No when their head ever seen anything like this type of response. They concluded that it is a response to the vaccine and then I should get advice about whether or not to get the second dose of the Moderna vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dermatitis bullous, Erythema — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site

Free text: This system wont allow me to proceed unless I check Rash. I do not have a rash but I wanted to tell you about the large lesion on my armThe 3 x 5 bulla on my arm Has been drained. The surrounding bright red area is now about 5 x 4 in dimension it looks like a bad burn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-07-30
Call 1 — Left Voicemail
2021-07-30
Call successful
Does not wish to fill out VAERS report
2021-08-16
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-13

Systemic reaction (other): Migraine triggered by vax

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Very large blister like eruptions on arm below injection site. Blisters grew up to 2x2 And 1/2 deep. I went to ED No when their head ever seen anything like this type of response. They concluded that it is a response to the vaccine and then I should get advice about whether or not to get the second dose of the Moderna vaccine.

2021-02-16

Healthcare visit (other): Office visit

2021-02-17

Systemic reaction (other): This system wont allow me to proceed unless I check Rash. I do not have a rash but I wanted to tell you about the large lesion on my armThe 3 x 5 bulla on my arm Has been drained. The surrounding bright red area is now about 5 x 4 in dimension it looks like a bad burn

Release 4 — day 7, dose 1

2021-02-22

Systemic reaction (other): (b)(6)

redacted (b)(6)

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	✓	✓	✓
SRO	Dermatitis bullous	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site vesicles	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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