2YZ-23570-90928 · OpenVSafe

Timeline

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

2021-04-02
Dose 1 — Moderna
2021-04-10
Registered in v-safe
2021-04-10
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Itching · Headache · Be unable to do your normal daily activities

Free text: 3 hrs after vaccine felt inside body on fire inside body hurt lasted4 hrs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 14, dose 1
MedDRA: Arthralgia, Erythema, Neck pain, Nervousness, Neuralgia, Pain, Paraesthesia, Rash, Self-medication — Feeling: Fair · Be unable to work, 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: D2-13 felt like severe rash inside body head to toe felt nervous ,bodypain inside ,nerve pain ,pins and needles.took benadryl, zyrtec 12 days .d8 -11,arm rash,shoulder,neck pain. . Feet solid red off and on. Toes red some

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 28, dose 1
MedDRA: Hypersensitivity, Office visit, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Had a non severe allergic reaction . Due reaction had to take benadryl and zyrtec for 13 day for allergic reaction went to doctor 3 times. Doctor is pro vaccine but said he was concerned for me to get 2nd vaccine due to allergic reaction would be wo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Survey response — 3 months, dose 1
MedDRA: Hypersensitivity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continue to have high histamine levels from reaction to vaccibe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-01
Health check-in — 6 months, dose 1
Feeling: Poor

Adult check-in
2022-01-13
Call successful
Participant prefers to complete VAERS report online
2022-04-02
Health check-in — 12 months, dose 1
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-10

Systemic reaction (other): 3 hrs after vaccine felt inside body on fire inside body hurt lasted4 hrs

Release 7 — day 14, dose 1

2021-04-17

Symptoms: D2-13 felt like severe rash inside body head to toe felt nervous ,bodypain inside ,nerve pain ,pins and needles.took benadryl, zyrtec 12 days .d8 -11,arm rash,shoulder,neck pain. . Feet solid red off and on. Toes red some

Release 8 — day 28, dose 1

2021-05-06

Symptoms: Had a non severe allergic reaction . Due reaction had to take benadryl and zyrtec for 13 day for allergic reaction went to doctor 3 times. Doctor is pro vaccine but said he was concerned for me to get 2nd vaccine due to allergic reaction would be wo cut off by CDC

Release 9 — 3 months, dose 1

2021-07-02

Symptoms: Continue to have high histamine levels from reaction to vaccibe

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	Arthralgia	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Nervousness	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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