3W5-37236-90865 · OpenVSafe

Timeline

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Survey response — day 0, dose 1
MedDRA: Arthralgia, Neck pain — Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My shoulder and neck on the same side as I got the vaccination on my left side it's killing me. That time pain levels at 6 to 7 out of 1 to 10

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Intervertebral disc protrusion, Limb discomfort, Office visit, Sciatica, Urinary tract discomfort — 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: I have some kind of bulging disc most likely in my lower back pressing on my sciatica causing me to have bowel issues urinary issues and lose complete control and feeling in my left leg I doubt it's related to the vaccine but who the hell knows · Healthcare visit (other): I started going to a chiropractor but I'm about to go to the ER it's getting really bad today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
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)
2021-04-23
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-30
Survey response — day 28, dose 1
MedDRA: Oral pustule, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have pustules in the back of my throat running a low grade fever I have had contact close contact with a covid positive but my test came negative they think it may be a false negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): My shoulder and neck on the same side as I got the vaccination on my left side it's killing me. That time pain levels at 6 to 7 out of 1 to 10

Release 7 — day 14, dose 1

2021-04-15

Symptoms: I have some kind of bulging disc most likely in my lower back pressing on my sciatica causing me to have bowel issues urinary issues and lose complete control and feeling in my left leg I doubt it's related to the vaccine but who the hell knows

Healthcare visit (other): I started going to a chiropractor but I'm about to go to the ER it's getting really bad today

Release 8 — day 28, dose 1

2021-04-30

Symptoms: I have pustules in the back of my throat running a low grade fever I have had contact close contact with a covid positive but my test came negative they think it may be a false negative

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	Abdominal discomfort	✓	✓	✓
SD	Intervertebral disc protrusion	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Oral pustule	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sciatica	✓	✓	✓
SD	Urinary tract discomfort	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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