3CA-18773-11573 · OpenVSafe

Timeline

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

2021-03-25
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Survey response — day 7, dose 1
MedDRA: Erythema, Pain in extremity, Peripheral swelling, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Today is day 8 after vaccine for me and my arm has become itchy, swollen, red and painful today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 14, dose 1
MedDRA: Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling, Pain, Pyrexia — Feeling: Good

Free text: On day 8 after my vaccine my arm became itchy, red and swollen around my vaccination site. It throbbed and hurt. I also had low grade temp around 101 degrees the 2nd and 3rd day after vaccination. Had fatigue for awhile. Otherwise doing very good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 35, dose 2
MedDRA: Dystonia, Fatigue, Hypotension, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Severe fatigue. Low blood pressure. Worsening dystonia symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 42, dose 2
MedDRA: Dystonia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: My dystonia has been worse and my fatigue has been worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Dystonia, Illness, Oropharyngeal pain, Pain, Pre-existing disease, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Recent illness. Sore throat. Body aches and fever. Flare up of even worsening Dystonia than usual horrible baseline.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Free text

Release 6 — day 7, dose 1

2021-04-02

Systemic reaction (other): Today is day 8 after vaccine for me and my arm has become itchy, swollen, red and painful today

Release 7 — day 14, dose 1

2021-04-08

Symptoms: On day 8 after my vaccine my arm became itchy, red and swollen around my vaccination site. It throbbed and hurt. I also had low grade temp around 101 degrees the 2nd and 3rd day after vaccination. Had fatigue for awhile. Otherwise doing very good.

Release 8 — day 35, dose 2

2021-05-27

Symptoms: Severe fatigue. Low blood pressure. Worsening dystonia symptoms

Release 8 — day 42, dose 2

2021-06-05

Symptoms: My dystonia has been worse and my fatigue has been worse

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Recent illness. Sore throat. Body aches and fever. Flare up of even worsening Dystonia than usual horrible baseline.

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	Dystonia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypotension	✓	✓	✓
SD	Illness	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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