3XH-17168-59907 · OpenVSafe

Timeline

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

2021-01-23
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Survey response — day 7, dose 1
MedDRA: Axillary pain — Feeling: Fair

Free text: Pain in axillary region on Left armpit - same side as vaccine injection. Experienced both yesterday and today. No noticeable lymphadenopathy present.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 14, dose 1
MedDRA: Axillary pain, Injection site erythema, Injection site rash, Injection site reaction, Lymphadenopathy, Rash erythematous — Feeling: Good

Free text: Day 6-8 after vaccine: pain in left armpit on same side as injectionDay 8-10 after vaccine: red rash of presented around where shot had been administered. No pain or itching. Day 9-present: swollen supraclavicar lymph node on left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Dose 2 — Moderna
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Systemic puritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna

Free text

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): Pain in axillary region on Left armpit - same side as vaccine injection. Experienced both yesterday and today. No noticeable lymphadenopathy present.

Release 3 — day 14, dose 1

2021-02-10

Symptoms: Day 6-8 after vaccine: pain in left armpit on same side as injectionDay 8-10 after vaccine: red rash of presented around where shot had been administered. No pain or itching. Day 9-present: swollen supraclavicar lymph node on left side

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Systemic puritis

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	Axillary pain	✓	✓	✓
SD	Injection site erythema	✓	✓	○
SD	Injection site rash	✓	✓	○
SD	Injection site reaction	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Rash erythematous	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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