2XJ-92975-14052 · OpenVSafe

Timeline

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

2021-05-05
Dose 1 — Moderna
2021-05-06
Registered in v-safe
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Bone pain, Fatigue, Feeling abnormal, Mobility decreased, Pain, Pain in extremity, Sleep disorder — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Severe pain through entire arm. Feels like my collar bone is breaking. Cant use or raise my arm. Can not sleep pain is so bad. Its excruciating!!!! Feels like im breaking my bones . Its awful. All the way back to my shoulder blades. This cant be normal. Plus im so tired and out if it. I literally cant move my left arm or even bend it at a 90 degree angle. Feels like my bones are cracking. Sharp shooting pains. OMG!!! Again this is awful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-12
Survey response — day 7, dose 1
MedDRA: Abdominal pain, Malaise — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lots of abdominal pain. Unwell feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 14, dose 1
MedDRA: Dizziness, Malaise, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arm pain, dizziness, feeling unwell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Dose 2 — Moderna
2021-06-02
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-05	Moderna
2	2021-06-02	Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-06

Systemic reaction (other): Severe pain through entire arm. Feels like my collar bone is breaking. Cant use or raise my arm. Can not sleep pain is so bad. Its excruciating!!!! Feels like im breaking my bones . Its awful. All the way back to my shoulder blades. This cant be normal. Plus im so tired and out if it. I literally cant move my left arm or even bend it at a 90 degree angle. Feels like my bones are cracking. Sharp shooting pains. OMG!!! Again this is awful.

Release 8 — day 7, dose 1

2021-05-12

Systemic reaction (other): Lots of abdominal pain. Unwell feeling

Release 8 — day 14, dose 1

2021-05-21

Symptoms: Arm pain, dizziness, feeling unwell

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	Dizziness	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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