3BT-18216-36623 · OpenVSafe

Timeline

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

2021-01-02
Dose 1 — Moderna
2021-01-18
Registered in v-safe
2021-01-18
Survey response — day 14, dose 1
MedDRA: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Local reaction, Paraesthesia — 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: Localized allergic reaction to vaccine. Including tingling in entire arm, 11x10 red, swollen, hot, sensitive to touch and movement in area where vaccine was injected into muscle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
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)
2021-01-23
Survey response — day 21, dose 1
MedDRA: Arthralgia, Inflammation, Medical counselling, Myalgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Th reaction continues to flair up, I have joint and muscle pain. Inflammation continues to effect me. · Healthcare visit (other): PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Report sent to call center — day 21, 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)
2021-02-01
Survey response — day 28, dose 1
MedDRA: Heart rate increased, Immunisation reaction, Loss of personal independence in daily activities, Office visit, Paraesthesia, Specialist consultation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Cannot get the 2nd dose since my 1st dose reaction is still ongoing and has not resolved with medical treatment. Still cannot perform daily activities normally. High heart rate, between 100 and 130 at rest. Entire arm still tingling. · Healthcare visit (other): PCP follow up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 28, 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)
2021-03-22
Call successful
Participant prefers to complete VAERS report online
2022-01-03
Health check-in — 12 months, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-18

Symptoms: Localized allergic reaction to vaccine. Including tingling in entire arm, 11x10 red, swollen, hot, sensitive to touch and movement in area where vaccine was injected into muscle.

Release 2 — day 21, dose 1

2021-01-23

Symptoms: Th reaction continues to flair up, I have joint and muscle pain. Inflammation continues to effect me.

Healthcare visit (other): PCP

Release 3 — day 28, dose 1

2021-02-01

Symptoms: Cannot get the 2nd dose since my 1st dose reaction is still ongoing and has not resolved with medical treatment. Still cannot perform daily activities normally. High heart rate, between 100 and 130 at rest. Entire arm still tingling.

Healthcare visit (other): PCP follow up

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	·	✓
HCVO	Specialist consultation	○	✓	○
SD	Arthralgia	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Immunisation reaction	✓	·	✓
SD	Inflammation	✓	✓	✓
SD	Injected limb mobility decreased	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Local reaction	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Paraesthesia	✓	✓	✓

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