3PJ-88060-24589 · OpenVSafe

Timeline

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

2021-01-08
Dose 1 — Moderna
2021-01-18
Registered in v-safe
2021-01-18
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-01-18
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Survey response — day 14, dose 1
MedDRA: Itching scar, Lip swelling, Nasal mucosal blistering, Pre-existing disease, Pruritus, Rash — Feeling: Fair

Free text: I developed a new rash last Friday and last night out of no my scar from my hernia surgery I had done in 2014 blew up and was severely itching just like my arm last week. Woke up and it was normal. I also had blisters in my nose and lip blew up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 28, dose 1
MedDRA: Dizziness, Headache, Office visit, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ive been having dizziness and headaches. Feeling bouts of vertigo also. I have never had any health issues prior to this vaccine. Now it seems something new each week develops. · Healthcare visit (other): In office visit with primary

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-22

Symptoms: I developed a new rash last Friday and last night out of no my scar from my hernia surgery I had done in 2014 blew up and was severely itching just like my arm last week. Woke up and it was normal. I also had blisters in my nose and lip blew up.

Release 3 — day 28, dose 1

2021-02-05

Symptoms: Ive been having dizziness and headaches. Feeling bouts of vertigo also. I have never had any health issues prior to this vaccine. Now it seems something new each week develops.

Healthcare visit (other): In office visit with primary

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	Office visit	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Itching scar	✓	✓	✓
SD	Lip swelling	✓	✓	✓
SD	Nasal mucosal blistering	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Vertigo	✓	✓	✓

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