3CM-30764-95684 · OpenVSafe

Timeline

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

2021-01-05
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-01-17
Survey response — day 7, dose 1
MedDRA: Back pain — Feeling: Poor · Site: Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · 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: Severe lower back ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — day 7, 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)
2021-01-19
Survey response — day 14, dose 1
MedDRA: Back pain, Inflammation, Rash, Skin irritation — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe back pain, rash on arm and neck and Inflammation in whole body. Very irritated skin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 21, dose 1
MedDRA: Back pain, Dysuria, Urinary incontinence — Feeling: Poor · 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: Had to go to urgent care and doctor again! For symptoms of of a kidney infection and UTI nothing came up on culture but I was in a lot of pain. Bad back pain, urine incontinence . Painful urination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Survey response — day 28, dose 1
MedDRA: Back pain, Decreased appetite, Fatigue, Malaise, Myocardial infarction, Peripheral swelling, Rash, Swelling — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Rash and swelling on feet legs torso armsSymptoms of a heart attack Back painMalaiseFatigueFeeling unwellNo appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
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)
2021-02-09
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-02-16
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-03-17
Call 1 — Left Voicemail
2021-04-06
Survey response — 3 months, dose 1
MedDRA: Injection site rash, Urticaria — Feeling: Good

Free text: Continue to have rashes pop up around the injection site on my arm with weird welts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna

Call center

3 call center cases

3 unsuccessful

VAERS report filed, before or during a call: 2

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-17

Systemic reaction (other): Severe lower back ache

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Severe back pain, rash on arm and neck and Inflammation in whole body. Very irritated skin.

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Had to go to urgent care and doctor again! For symptoms of of a kidney infection and UTI nothing came up on culture but I was in a lot of pain. Bad back pain, urine incontinence . Painful urination.

Release 3 — day 28, dose 1

2021-02-02

Symptoms: Rash and swelling on feet legs torso armsSymptoms of a heart attack Back painMalaiseFatigueFeeling unwellNo appetite

Release 7 — 3 months, dose 1

2021-04-06

Symptoms: Continue to have rashes pop up around the injection site on my arm with weird welts.

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	Back pain	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dysuria	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Myocardial infarction	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin irritation	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Urinary incontinence	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Back pain	✓	✓	✓

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