3GV-28127-10085 · OpenVSafe

Timeline

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

2021-04-23
Dose 1 — Moderna
2021-04-27
Registered in v-safe
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Mobility decreased, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, 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

Free text: Systemic reaction (other): left arm limited mobility, runny nose, unable to concentrate · Healthcare visit (other): went to med express for covid test 4/26/2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — days 1–6 daily, 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)
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-30
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-07-23
Survey response — 3 months, dose 1
MedDRA: Fatigue, Pain in extremity — Feeling: Good

Free text: Forearms still hurt. Still tired but accepting that as the normal.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-22
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2022-03-07
Call successful
Participant prefers to complete VAERS report online
2022-04-25
Survey response — 12 months, dose 1
MedDRA: Dyspnoea, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities

Free text: Seem to run out of breath doing normal stuff, like hauling the trash cans out, it has been going on for a while and i have just brushed it off. I still have to do stuff, just need breaks now. Think this is covid related, not vaccine related.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): left arm limited mobility, runny nose, unable to concentrate

Healthcare visit (other): went to med express for covid test 4/26/2021

Release 9 — 3 months, dose 1

2021-07-23

Symptoms: Forearms still hurt. Still tired but accepting that as the normal.

Release 11 — 12 months, dose 1

2022-04-25

Symptoms: Seem to run out of breath doing normal stuff, like hauling the trash cans out, it has been going on for a while and i have just brushed it off. I still have to do stuff, just need breaks now. Think this is covid related, not vaccine related.

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	SARS-CoV-2 test	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Pain in extremity	✓	·	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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